2025 In this written assignment select one cultural factor such as health beliefs language perception of

Module 09 Written Assignment – Cultural Factors and Their Influence on Medications 2025

In this written assignment, select one cultural factor such as health beliefs, language, perception of time, environment control, etc. (see textbook reading) and apply it to a selected ethnic group. The paper will include the following: One impact on medication preparation. Explain. Two impacts on medication administration. Explain. Two potential adverse reactions. Explain with rationale. One possible issue in adherence to medication regimen. Explain how this can be overcome. The paper should be no more than 3 pages. Use APA Editorial Format for all citations and references used

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2025 As an advanced practice nurse assisting physicians in the diagnosis and treatment

Pharmacokinetics and Pharmacodynamics 2025

As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body. The relationships between drugs and the body can be described by pharmacokinetics and pharmacodynamics. Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body. When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharamcodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease. In this Discussion, you reflect on a case from your past clinical experiences and consider how a particular patient’s pharmacokinetic and pharmacodynamic processes altered his or her response to a drug. To prepare: · Review this week’s media presentation with Dr. Terry Buttaro, as well as Chapter 2 of the Arcangelo and Peterson text, and the Scott article in the Learning Resources. Consider the principles of pharmacokinetics and pharmacodynamics. · Reflect on your experiences, observations, and/or clinical practices from the last five years. Select a case from the last five years that involves a patient whose individual differences in pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug. When referring to your patient, make sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient. · Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease. · Think about a personalized plan of care based on these influencing factors and patient history in your case study. With these thoughts in mind: Post a description of the case you selected. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient from the case you selected. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. – This work should have Introduction and conclusion – This work should have at 3 to 5current references (Year 2012 and up) – Use at least 2 references from class Learning Resources The following Resources are not acceptable : 1. Wikipedia 2. Cdc.gov- nonhealthcare professionals section 3. Webmd.com 4. Mayoclinic.com LEARNING RESOURCES **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. Chapter 2, “Pharmacokinetic Basis of Therapeutics and Pharmacodynamic Principles” (pp. 17-31) This chapter examines concepts related to pharmacokinetics and pharmacodynamics. It also explores patient factors that health care providers consider when prescribing drug therapy to patients. Chapter 3, “Impact of Drug Interactions and Adverse Events on Therapeutics” (pp. 33-51) This chapter explains drug-drug, drug-food, drug-herb, and drug-disease interactions. It also reviews patient factors that influence drug interactions and then covers adverse drug reactions. Chapter 4, “Principles of Pharmacotherapy in Pediatrics” (pp. 53-63) This chapter explores concepts relating to drug selection, administration, and interaction for pediatric patients. It also compares age-related pharmacokinetic differences in children and adults. Chapter 6, “Principles of Pharmacotherapy in Elderly Patients” (pp. 73-89) This chapter describes issues and factors that affect drug therapy for elderly patients. It then explores concepts relating to drug selection, administration, and management for elderly patients. **Scott, S. A. (2011). Personalizing medicine with clinical pharmacogenetics. Genetics in Medicine, 13(12), 987–995. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3290900/ This article examines pharmacogenetic testing in relation to personalized drug therapy plans and explores evidence-based guidelines and recommendations on pharmacogenetic testing. **Drugs.com. (2012). Retrieved August 22, 2012, from http://www.drugs.com/ This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker. **Haymarket Media, Inc. (2012). Retrieved from http://www.empr.com/ **Institute for Safe Medication Practices. (2012). Retrieved from http://www.ismp.org/ **WebMD. (2012). Medscape. Retrieved from http://www.medscape.com/

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2025 Week 7 Assignment Textbook Problems Create Attribute Control Charts Due 10 6 2018 As a current or future health care administration leader

Create Attribute Control Charts Chapter 7 2025

Week 7 Assignment: Textbook Problems: Create Attribute Control Charts Due 10/6/2018 As a current or future health care administration leader, you will likely engage in creating and presenting attribute control charts for your health services organization. As you have examined in this course, the use of attribute control charts will depend on the specific processes in your health services organization that require monitoring and oversight. Apart from interpreting and understanding the results of control charts for ensuring that processes are in control, developing skills in creating attribute variable control charts is necessary for health care administration practice. For this Assignment, review the resources for this week that are specific to attribute control charts. You should focus on mimicking the development of p and np charts as demonstrated in the readings for this week. The Assignment: (3– pages) · Using SPSS and Microsoft Word, complete problems 1 through 5 on pages 297–299 in the Ross textbook. Show all work. Submit both your SPSS and Word files for grading. ROBLEMS 1. A hospital is analyzing nosocomial infections and wants to reduce their infection rate below the national average of 2.0%. They have sampled 40 cases every week for the last 20 weeks. The data are shown below. Create p and np control charts. Interpret the graphs. How is the hospital performing in relation to its stated goal? 1 2 11 3 2 1 12 4 3 1 13 2 4 2 14 3 5 1 15 4 6 1 16 5 7 3 17 3 8 2 18 4 9 1 19 5 10 2 20 6 2. Walter Shewhart ([1931] 1980) presented the following data in his classic Economic Control of Quality of Manufactured Product. Create a p chart for each machine. Does either of the two machines show evidence of special cause variation? MACHINE A MACHINE B MACHINE B Month Defective Inspected Defective Inspected Jan 4 527 Feb 5 610 Mar 5 428 Apr 2 400 May 15 498 Jun 3 500 Jul 3 395 Aug 2 393 Sep 3 625 Oct 13 465 Nov 5 446 Dec 3 510 Average 5.25 483.08 1 169 3 99 1 208 1 196 1 132 1 89 1 167 2 200 1 171 1 122 3 107 1 132 1.42 149.33 3. From January 1846 through December 1848 Semmelweis ([1860] 1983) recorded births and the number that resulted in the death of the mother at his hospital. The data is available in the Chapter07.xls file, in the Problem07–03 tab. Create a p chart to analyze performance. Interpret the chart. Was the system stable? 4. Postsurgical infections have been reported to affect 2% to 5% of the 16 million patients who undergo surgery in U.S. hospitals. Infections increase the chance of complications and death. Antibiotics given one hour prior to surgery have been shown to reduce the probabil- ity of infection. The director of quality improvement has sampled 20 patients per week over the preceding 25 weeks. The data is available in the Chapter07.xls file in the Problem07–04 tab. The data collected records whether a patient contracted an infection after surgery. Create a p chart to analyze performance. Interpret the hospital’s performance based on your control chart and identify any issues that should be investigated. Assuming the aver- age rate of infection is 3.5%, is the hospital doing a good job? 5. Readmission rates within one year for congestive heart failure have been documented at 35%. A local heart program wants to assess its performance against this standard. The pro- gram has randomly selected ten patients per month over a 24-month period for review. The data is available in the Chapter07.xls file, in the Problem07–05 tab. Some of the patients were deleted from the sample due to death, relocation, or other reasons that preclude follow-up. Create a p chart. Is the process stable? How is the program performing relative to the documented standard? Since not all months have 10 observations, either use 10 as the sample size or use the average sample size to calculate the control limits.

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2025 Answer the following questions please make sure all answers are CORRECT and send back to me 2 A 23 year old

Advanced Medical Coding: Diagnostic Testing 2025

Answer the following questions, please make sure all answers are CORRECT and send back to me 2.  A 23-year-old patient comes in complaining of shortness of breath, fatigue, and an abnormally fast heartbeat. She also has GERD, acute exacerbation of asthma, and cachecticorum acne. The physician obtains a complete blood cell count, and renders a diagnosis of Rietti-Greppi-Micheli anemia. What diagnosis codes are assigned? A. D58.3, K23.9, J45.906, L70.8 B. D56.3, K24.9, J45.941, L70.8 C. D59.3, K21.9, J45.921, L70.8 D. D56.9, K21.9, J45.901, L70.8 4.  A 33-year-old patient is seen for a bilateral screening mammography with computer-aided detection, interpreted by the physician, with digitization of the radiographic images. What CPT codes should be assigned? A. 78053, 77054 B. 77097, 77056 C. 77059, 77051 D. 77057, 77052 5.  A patient undergoes testing for ten synthetic cannabinoids, cocaine, methadone, and three opiate analogs. What codes would be assigned? A. 80331, 80353, 80358, 83992 B. 80352, 80353, 80358, 80363 C. 80352, 80353, 80364, 80368 D. 80347, 80360, 80363, 80365 7.  A patient undergoes a limited clinical pathology consultation, without review of history or medical records. What code should be assigned? A. 80502 B. 80500 C. 80434 D. 80436 8.  A lumbosacral myelography performed with radiological supervision and interpretation is assigned to code A. 72285. B. 72270. C. 72275. D. 72265. 9.  A 26-year-old patient undergoes a carotene test to check her vitamin A level. What CPT code should be assigned? A. 82381 B. 82384 C. 82380 D. 82382 10.  What code is assigned for intravenous pyelography without KUB and without tomography? A. 74455 B. 74400 C. 74742 D. 74326 11.  A patient has an activated coagulation time test. The coder assigns code 85345. Is this code correct or incorrect? A. The code is correct, but should include a modifier for the activated portion of the test. B. The code is incorrect. The correct code is 85347. C. The code is incorrect. The correct code is 85348. D. The code is correct. 12.  Code 82947 indicates a test that is included in a/an _______ panel. A. renal function B. lipid C. electrolyte D. hepatic function 13.  A new patient comes in to the doctor’s office for her annual gynecological exam. During the course of the exam, she undergoes a screening cervical cytopathology smear, which is performed by an automated system under the supervision of a physician. What HCPCS code is assigned? A. G0147 B. G0417 C. G0856 D. G0256 14.  Code 89230 indicates A. sweat by iontophoresis. B. bilirubin, total, transcutaneous. C. nasal smear for eosinophils. 15.  What code is assigned for a hepatitis C antibody test? A. 86784 B. 86756 C. 86803 D. 86830 16.  Blood lipoprotein with electrophoretic separation and quantitation with high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses would be assigned to code A. 83701. B. 83698. C. 83704. D. 83705. 17.  The description for code 82441 is A. cholinesterase; serum. B. chlorinated hydrocarbons, screen. C. cortisol; free. D. chromium. 18.  What code would be assigned for anterior segment imaging with fluorescein angiography, with interpretation and report? A. 92230 B. 92235 C. 92499 D. 92287 19.  A patient has a temporomandibular joint arthrography. If the procedure is performed under radiological supervision and interpretation, what code should be reported? A. 70553 B. 70350 C. 70332 D. 70551 20.  Mr. Carson comes to the emergency room complaining of leg pain after falling out of bed in his home. A technician at the hospital obtains an x-ray of the tibia and the fibula using the hospital’s radiology equipment. The physician reviews his x-ray, and determines that he has sprained his leg. Mr. Carson also has a history of prostate cancer, cigarette smoking, Crohn’s disease, and hyperbilirubinemia. The emergency department visit included an expanded problem focused history and examination. The medical decision making was of moderate complexity. Code this scenario. A. 99284-25, 73592 B. 99285-25, 73592 C. 99281-25, 73591 D. 99283-25, 73590

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2025 Case Study Topic Case Study Posting Requirements Make sure all of the topics in the case

MN551 Advanced Pathophysiology Across the Lifespan week 8 Discussion 2025

Case Study: Topic Case Study Posting Requirements Make sure all of the topics in the case study have been addressed. Cite at least three sources—journal articles, textbooks or evidenced-based websites to support the content. All sources must be within five years. Do not use .com, Wikipedia, or up-to-date, etc., for your sources. Case Study 1 Structure and Function of the Male Genitourinary System Mario is a 68-year-old male whose wife died of cancer five years ago. Since her death, he began to eat more fast food and stay at home and watch television. Recently, however, Mario’s friend introduced him to a woman whom he became to like very much. After seeing her a few times, Mario became concerned about his health and went to see his doctor. He noticed a change in his sexual performance when he turned 60 and, after seeing so much on television about erectile dysfunction, was concerned he would experience this with his girlfriend. What factors are present in Mario’s history that predispose him to erectile dysfunction? What condition would you suspect if Mario had a blood test indicating elevated LH and decreased testosterone levels? What effect do low testosterone levels have on the reproductive organs of the male? How do the parasympathetic and sympathetic nervous systems generate erection, emission, and ejaculation? Case Study 2 Disorders of the Male Genitourinary System Darius is 63 years old and began to wake up at night to urinate. When he went to the bathroom, he had to strain to initiate the flow, and the stream of urine was weak. Over time, the pattern became more apparent during the day; he often had a sense of urgency and felt he was going to the bathroom frequently. When he did, however, he did not always feel he had emptied his bladder, and he tended to dribble throughout the day. Much to his reluctance, his wife urged him to see a physician. At the doctor’s office, his case history was carefully taken, a digital rectal exam was performed, and lab work was ordered. His blood results were unremarkable, but his urinalysis showed an elevated white blood cell count and bacteria. His physician diagnosed Darius with benign prostatic hyperplasia and urinary tract infection. How does BPH contribute to the signs and symptoms of bladder dysfunction, and how was Darius prone to developing a urinary tract infection? What are the static and dynamic components of BPH? Why are α1-adrenergic receptor blockers sometimes used to treat prostatic hyperplasia? How does the prostate feel during a digital rectal exam with benign prostatic hyperplasia, acute bacterial prostatitis, and prostate cancer? Why does the patient with prostate cancer present with symptoms later in the disease? Case Study 3 Structure and Function of the Female Reproductive System Janice is 49 years old, is married, and has two teenage children. Over the last year, her periods tended to be irregular and heavier than usual. She also noticed intercourse was becoming more painful for her, and her interest in sex declined. She knew her mother was 51 when she reached menopause, and Janice was concerned about having the mood swings and hot flashes her mother had experienced. She phoned some of her friends to seek their advice. Some said she should try hormone therapy, while others said it was not a good idea at all. Other friends said she should use remedies like red clover tea and soy isoflavone supplements. Janice decided her best bet was to go to the local women’s health care clinic to discuss her options with a nurse. Using the data collected by the Women’s Health Initiative and the Nurses’ Health Study, why are some women at an increased risk for CHD and others are at a decreased risk when hormone therapy is prescribed? Why are alternative methods like red clover and some plant oils being promoted for the menopausal woman? What are the changes that occur in a woman’s reproductive organs when estrogen levels decline? How does estrogen affect bone growth during puberty? Why are postmenopausal women at risk for osteoporosis? Case Study 4 Disorders of the Female Reproductive System Tracie is 39 years old and is in a casual relationship with a man. She had her first sexual relationship when she was 13 and prefers to have short-term sexual relationships with men instead of a monogamous, committed partnership. It had been several years since Tracie had a complete physical, so before going on a vacation, she decided to have one done. Tracie’s Pap smear indicated CIN 3 (HSIL) dysplasia. Her physician immediately ordered a colposcopy and LEEP excision, and then asked to see Tracie for a follow-up appointment 6 months later. Why is cervical cancer considered a sexually transmitted disease? Explain what the Pap smear entails and why it is an effective tool in the detection of cervical cancer. What does Tracie’s result mean? What is the transformation zone, and why is it vulnerable to the development of cervical cancer? What is the LEEP procedure, and why is it useful for the diagnosis and treatment of cervical dysplasia? To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.

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2025 This is a Unfolding Case Study Patient Details Print Phase Info Case Study History Name James Karen Age 57

Mobility VCBC Post Work (Nusrsing) 2025

This is a Unfolding Case Study Patient Details: Print Phase Info | Case Study History Name: James, Karen Age: 57 Years Gender: Female Karen James is a 57-year-old female who was admitted to the medical-surgical unit from her primary care physician’s office for treatment and evaluation of persistent and worsening influenza. She has a past medical history of asthma as well as depression and anxiety. You are currently working on Phase 1. You have completed Phase 0 of this scenario. Patient Details: Print Phase Info | Case Study History Name: James, Karen Age: 57 Years Gender: Female Phase 1, Wednesday 16:00 You have assumed care for Ms. James who is admitted to the medical-surgical unit for rehydration and management of respiratory distress. Orient yourself to the patient and health record by locating the following pieces of information within the System Assessment Report and Patient Teaching, and type your answers in a Miscellaneous Nursing Note: 1). Run a report on all the System Assessments documented for the patient in the last 24 hours. You will need to go to Patient Charting > System Assessments > Show Saved Charting. What was documented for the respiratory effort? What was auscultated in the Lower Right Posterior lobe of the lungs? What was documented related to tissue perfusion? 2). What was the last documented temperature for Karen? 3). Does Ms. James use any sensory aides? 4) What does she rate her pain? 5) What is her MORSE Fall Risk Score? Review the client’s History and Physical, what indications can you see place this patient at risk for mobility issues or falls? [LEARNER ACTION: In a misc nursing note identify risks for mobility and falls. Explain her score on the MORSE scale.] When you are finished with this task, you may click Complete this Phase. Patient Information Chief Informant: Patient Chief Complaint: Shortness of breath, productive cough History of Current Problem: Patient states she has had 3-week history of influenza. Has now developed a severe cough approximately 3 days ago with shortness of breath. Unable to sleep due to cough, which often causes bronchospasms. Patient also complains of fever, fatigue, and right-sided chest pain. Seen in urgent care 3 days ago and given Z-pack. No improvement in symptoms. Allergies: None known Family History: Mother died at age of 72 with breast cancer. Father is alive at the age of 79 and has congestive heart failure. Past Medical History Previous Illnesses: Patient has asthma. Also states she gets bronchitis every 1-2 years. Contagious Diseases: None Injuries or Trauma: None Surgical History: Tonsillectomy and adenoidectomy as a child. Dietary History: Regular diet. Patient is 5’1″ and 140 pounds. Has recently lost 20 pounds on Weight Watchers diet. Other: — Social History: No smoking, no drugs. Uses alcohol in social situations. Current Medications: Tylenol 650 mg PO every 4 hours PRN pain or fever Prozac 20 mg PO every day Xanax 0.25 mg PO every 8 hours PRN Xopenex HFA 2 puffs every 6 hours PRN Review of Systems Integument: Denies complaints. HEENT: States she had neck soreness related to influenza, with “swollen glands.” Cardiovascular: No complaints. Respiratory: Complains of shortness of breath, frequent productive cough. States her cough often turns into bronchospasms. Uses inhaler, peppermint tea, lozenges, and Vicks VapoRub. Gastrointestinal: Complains of decreased appetite. Genitourinary: No complaints. Musculoskeletal: Complains of generalized body aches. Neurologic: Alert and oriented. Developmental: Denies complaints. Endocrine: No complaints. Genitalia: No complaints. Lymphatic: No complaints. Physical Exam General: 57-year-old female in mild distress. Appears weak. Vital Signs: Temp: 103.2 F, Pulse: 114, Resp: 28, Blood pressure: 154/78 in office this morning Integument: Skin clear of rash. HEENT: Pupils equal and reactive. Nasal congestion. Neck supple. Cardiovascular: S1, S2, no murmur. Respiratory: Lungs clear with crepitation in right base. Gastrointestinal: Abdomen soft, active bowel sounds. Genitourinary: — Musculoskeletal: Moves all extremities well. Neurologic: Alert and oriented. Developmental: — Endocrine: — Genitalia: Not assessed. Seen by gynecologist recently. Negative pap smear and negative mammogram. Lymphatic: No lymph node swelling at this time. Impressions: Pneumonia Plan: The patient is admitted for IV antibiotics and close observation of respiratory status. Patient will need influenza and pneumonia vaccines. Provider Signature: Michael Foster, MD Day: Wednesday Time: 12:45 Chief Complaint: The patient is a 57-year-old female admitted today for chief complaint of shortness of breath. Patient’s labs were completed in the primary care provider’s office prior to admission and results include the following: WBC: 20.2 x 109/L RBC: 4.51 RBC x 106/ul Hemoglobin: 14.0 g/dL Hematocrit: 40.2% Sodium: 139 mEq/L Potassium: 4.2 mEq/L Chloride: 105 mEq/L CO2: 26 mEq/L Glucose: 91 mg/dL BUN: 17 mg/dL Creatinine: 0.5 mg/dL She is also febrile at 102.7. Nursing will initiate IV antibiotics. Showing 1 to 1 of 1 entries FirstPrevious1NextLast Chart Time Temp Resp Pulse BP Sat% Notes Entry By Wed 12:45 102.7 22 112 142/77 98 C Diaz, RN Select Chart Type: Temperature Respiration Pulse Blood Pressure Oxygen Saturation Select and drag to zoom in on a date range 102.7F/39.3C Patient Card Order Day/Time Description Category Last Performed Discontinue Wed | 13:00 Admit  to medical-surgical Alerts — Wed | 13:00 Start and maintain IV line IV — Wed | 13:00 Pulse oximetry every 4 hour(s) Respiratory — Wed | 13:00 Vital signs every 4 hours Vital Signs — Wed | 13:00 Up as tolerated Activity/Mobility — Wed | 14:00 Diagnosis-Respiratory  distress syndrome-ADDED-Disease Process Patient Teaching — Wed | 13:00 Regular/General  Diet Diet — Showing 1 to 7 of 7 entries FirstPrevious1NextLast PRN Drug Name Order Start Order Stop Dose Route Frequency Dosage Time Action Acetaminophen Tablet –  (Tylenol, Genapap) Wed  13:00 Tue  23:59 650  mg Oral Every  6 Hours PRN –  – Levalbuterol Nebulizer  Solution – (Xopenex Nebulizer Solution) Chart: System Assessments Wed 13:00 Entry Time: Wed 13:00 Entered By: C Diaz, RN Cardiovascular Assessment Pulses Apical: Regular Tissue Perfusion Peripheral vascular, general: Warm extremities Edema No edema noted Cardiac Assessment No cardiac problems noted Respiratory Assessment Productive Cough Secretions Assessment Color: Green Amount: Scant Cough Cough strength: Strong Cough type: Productive Oxygenation Respiratory/breathing support: Nebulizer treatment Lower Right Posterior Auscultation: Coarse crackles Lower Left Posterior Auscultation: Diminished Upper Right Posterior Wheeze Description: Expiratory Auscultation: Wheeze Upper Left Posterior Wheeze Description: Expiratory Auscultation: Wheeze Productive Cough Secretions Assessment Consistency: Thick Secretion odor: None Upper Left Anterior Auscultation: Clear Upper Right Anterior Auscultation: Clear Respiratory Effort Dyspnea/shortness of breath Shortness of breath on exertion Respiratory Pattern Labored Neurological Assessment Level of Consciousness/Orientation Oriented to person, place, time, and situation Emotional State Calm Cooperative Central Nervous System Assessment (CNS) No CNS problems evident Integumentary Assessment Integumentary Assessment No assessment required at this time Sensory Assessment Vision Assessment Wears glasses Wears contacts Musculoskeletal Assessment Range of Motion (ROM) Moves all extremities with full range of motion Gastrointestinal Assessment Abdomen Abdominal assessment: Soft to palpation Gastrointestinal No gastric problems noted Intestinal Date of last bowel movement: Monday Continence of bowel: Continent Intestinal assessment: No bowel problems noted Bowel sounds: Active x 4 quadrants Rectum: No reported rectal problems Pain Assessment Do You Have Pain Now? No Genitourinary Assessment Genitourinary Assessment No assessment required at this time Psychosocial Assessment Psychosocial Assessment No assessment required at this time Safety Assessment Orientation Oriented to time, person, place Fall Risk 30 Bracelet Check Hospital ID bracelet Safety Notes Low fall risk Morse Fall Scale History of Falling No=0 Secondary Diagnosis No=0 Ambulatory Aid None/Bedrest/Nurse Assist=0 IV or IV Access Yes=20 Gait Weak=10 Mental Status Oriented to Own Ability=0 Total Fall Risk Score Risk Score: 30 Fall Risk Score and Preventative Measures Implemented Fall Risk Level: Medium Risk Fall Risk Measures: Implement Medium Risk Fall Prevention Interventions:
All items in low prevention plus post fall program sign indicating risk, wrist band identification, ambulate with assistance, do not leave patient unattended in diagnostic or treatment area, make comfort rounds every 2 hours for toileting. Special Precautions/Isolation Assessment Standard Precautions Vision Assessment Wears glasses Wears contacts Musculoskeletal Assessment You are currently working on Phase 2. You have completed Phase 1 of this scenario. Patient Details: Print Phase Info | Case Study History Name: James, Karen Age: 57 Years Gender: Female Phase 0 Karen James is a 57-year-old female who was admitted to the medical-surgical unit from her primary care physician’s office for treatment and evaluation of persistent and worsening influenza. She has a past medical history of asthma as well as depression and anxiety. You have assumed care for Ms. James who is admitted to the medical-surgical unit for rehydration and management of respiratory distress. Orient yourself to the patient and health record by locating the following pieces of information within the System Assessment Report and Patient Teaching, and type your answers in a Miscellaneous Nursing Note: 1). Run a report on all the System Assessments documented for the patient in the last 24 hours. You will need to go to Patient Charting > System Assessments > Show Saved Charting. What was documented for the respiratory effort? What was auscultated in the Lower Right Posterior lobe of the lungs? What was documented related to tissue perfusion? 2). What was the last documented temperature for Karen? 3). Does Ms. James use any sensory aides? 4) What does she rate her pain? 5) What is her MORSE Fall Risk Score? Review the client’s History and Physical, what indications can you see place this patient at risk for mobility issues or falls? [LEARNER ACTION: In a misc nursing note identify risks for mobility and falls. Explain her score on the MORSE scale.] When you are finished with this task, you may click Complete this Phase. Phase 2, Wednesday 16:20 You enter Ms. James’ room to take her vital signs and obtain the following results: Temperature: 101.5 degrees Fahrenheit, oral… Pulse: 110, radial… Respirations: 20… Blood pressure: 144/68 left arm, sitting… Oxygen saturation: 99%, finger probe, room air… Document the vital signs in the vital signs tab on the Info Panel on the left (do not document in a misc. note). When compared to the patient’s admission vital signs, how is the patient’s temperature trending? Document your answer in a Miscellaneous Nursing Note. Under Basic Nursing Care: Choose 5 interventions you will perform at this time to make this client to increase safety. Only 5 as you will need to prioritize your cares. Try to find 5 related to Impaired Mobility. When you are finished with these tasks, you may click Complete this Phase. Please submit your post work to Canvas within 24 hours of the completion of your VCBC Experience. Please refer to the Experiential Learning Orientation for further questions and a reminder on how to ensure your assignment is properly saved. Please complete the Concept Notebook (Map) for the concept of Mobility linked to your clients for the day. Concept Notebook Template.docx download 205-225 Concept Notebook Rubric V2.docx download This assignment is due within 24 hours of completing your VCBC. Please refer to the Experiential Learning Orientation for further questions and a reminder on how to ensure your assignment is properly saved. Rubric 205/225 Concept Notebook Rubric 205/225 Concept Notebook RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeRelated Concept 1 ptsSatisfactoryDocumented at least 2 concepts, related to the client with a detailed explanation of each related concept and how the related concept is impacted by the main concept, and correct APA in-text citations (if used).0.5 ptsNeeds ImprovementDocumented at least 1 concept, 1 concept is related to the client, or only minimal explanation of each related concept and how the related concept is impacted by the main concept, or incorrect APA in-text citations (if used).0 ptsUnsatisfactoryDocumented no related concept, did not relate the concept to the client, no explanation of each related concept and how the related concept is impacted by the main concept, and no APA in-text citations (if used). 1 pts This criterion is linked to a Learning OutcomeExemplar 1 ptsSatisfactoryDocumented at least 3 Exemplars, related to the client and correct APA in-text citations (if used).0.5 ptsNeeds ImprovementDocumented 1-2 Exemplars, 1-2 concepts are related to the client, or incorrect APA in-text citations (if used).0 ptsUnsatisfactoryDocumented no Exemplars , did not relate the concept to the client and no APA in-text citations (if used). 1 pts This criterion is linked to a Learning OutcomeAssessment 1 ptsSatisfactoryDocumented at least 3 assessments used to find and rule out alterations with the main concept and are all related to the client, a detailed explanation of each assessment and why one would do that assessment relating to the concept, and correct APA in-text citations (if used).0.5 ptsNeeds ImprovementDocumented 1-2 assessments used to find and rule out alterations with the main concept and 1-2 relate to the client, minimal explanation of why one would do that assessment relating to the concept, and incorrect APA in-text citations (if used).0 ptsUnsatisfactoryDocumented no assessments used to find and rule out alterations with the main concept and did not relate to the client, no explanation of why one would do that assessment relating to the concept, and no APA in-text citations (if used). 1 pts This criterion is linked to a Learning OutcomeLab & Diagnostic 1 ptsSatisfactoryDocumented at least 3 lab or diagnostic test used to find and rule out alterations with the main concept and all related to the client, a detailed explanation of each lab/test and why one would do that lab/test relating to the concept, and correct APA in-text citations (if used).0.5 ptsNeeds ImprovementDocumented 1-2 lab or diagnostic test used to find and rule out alterations with the main concept, 1-2 relate to the client, minimal explanation of each lab/test and why one would do that lab/test relating to the concept, and incorrect APA in-text citations (if used).0 ptsUnsatisfactoryDocumented no lab or diagnostic test used to find and rule out alterations with the main concept and did not relate to the client, no explanation of each lab/test and why one would do that lab/test relating to the concept, and no APA in-text citations (if used). 1 pts This criterion is linked to a Learning OutcomeInterventions 1 ptsSatisfactoryDocumented at least 3 nursing interventions needed to care for clients with alterations to the main concept and all related to the client, a detailed explanation of each intervention and why one would perform the interventions relating to the concept, and correct APA in-text citations (if used).0.5 ptsNeeds ImprovementDocumented 1-2 nursing interventions needed to care for clients with alterations to the main concept, 1-2 relate to the client, minimal explanation of each intervention and why one would perform the interventions relating to the concept, and incorrect APA in-text citations (if used).0 ptsUnsatisfactoryDocumented no nursing interventions needed to care for clients with alterations to the main concept and did not relate to the client, no explanation of each intervention and why one would perform the interventions relating to the concept, and no APA in-text citations (if used). 1 pts This criterion is linked to a Learning OutcomeMedications 1 ptsSatisfactoryDocumented at least 3 medications administered to clients to treat or prevent alterations to the main concept and all related to the client, a detailed explanation of each medication and why one would administer the medication relating to the concept, and correct APA in-text citations (if used).0.5 ptsNeeds ImprovementDocumented 1-2medications administered to clients to treat or prevent alterations to the main concept, 1-2 relate to the client, minimal explanation of each medication and why one would administer the medication relating to the concept, and incorrect APA in-text citations (if used).0 ptsUnsatisfactoryDocumented no medications administered to clients to treat or prevent alterations to the main concept and did not relate to the client, no explanation of each medication and why one would administer the medication relating to the concept, and no APA in-text citations (if used). 1 pts This criterion is linked to a Learning OutcomePotential Complications 1 ptsSatisfactoryDocumented at least 2 potential problems that could occur if alterations to the main concept are not addressed/treated and all related to the client, a detailed explanation of each complication and how it could occur relating to the concept, and correct APA in-text citations (if used).0.5 ptsNeeds ImprovementDocumented 1 potential problem that could occur if alterations to the main concept are not addressed/treated, 1 concept is related to the client, minimal explanation of each complication and how it could occur relating to the concept, and incorrect APA in-text citations (if used).0 ptsUnsatisfactoryDocumented no potential problems that could occur if alterations to the main concept are not addressed/treated, did not relate the concept to the client, no explanation of each complication and how it could occur relating to the concept, and incorrect APA in-text citations (if used). 1 pts This criterion is linked to a Learning OutcomeCollaborative Care 1 ptsSatisfactoryDocumented at least 1 department/ancillary staff that may be needed to treat clients who have or are at risk for alterations with the main concept and is related to the client, a detailed explanation of each how that department/ancillary staff could assist the client relating to the concept, and correct APA in-text citations (if used).0.5 ptsNeeds ImprovementDocumented at least 1 department/ancillary staff that may be needed to treat clients who have or are at risk for alterations with the main concept and is related to the client, minimal explanation of each how that department/ancillary staff could assist the client relating to the concept, and incorrect APA in-text citations (if used).0 ptsUnsatisfactoryDocumented no department/ancillary staff that may be needed to treat clients who have or are at risk for alterations with the main concept, did not relate the concept to the client, no explanation of each how that department/ancillary staff could assist the client relating to the concept, and no APA in-text citations (if used). 1 pts This criterion is linked to a Learning OutcomeSpelling and Grammar 1 ptsSatisfactory0- 2 mistakes in spelling or grammar.0.5 ptsNeeds Improvement3 -4 mistakes in spelling or grammar.0 ptsUnsatisfactory5 or more mistakes in spelling or grammar. 1 pts This criterion is linked to a Learning OutcomeReferencesCorrect APA references. 1 ptsSatisfactoryCorrect APA references.0.5 ptsNeeds ImprovementIncorrect APA references.0 ptsUnsatisfactoryNo APA references. 1 pts Total Points: 10 Previous Next

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2025 For this Discussion review the case Learning Resources and the case study excerpt presented Reflect on

PSYCHOPHARMACOLOGY Discussion Responses 2025

For this Discussion, review the case Learning Resources and the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs. Case: An elderly widow who just lost her spouse. Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications: • Metformin 500mg BID • Januvia 100mg daily • Losartan 100mg daily • HCTZ 25mg daily • Sertraline 100mg daily Current weight: 88 kg Current height: 64 inches Temp: 98.6 degrees F BP: 132/86 By Day 3 of Week 7 Post a response to each of the following: • List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions. • Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why. • Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used. • List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why. • List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other. • For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities? • Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen. Respond to the this discussion. All questions need to be addressed. Discussion 1 En Three questions to ask the patient and a rationale for asking these questions. How may I be of assistance today? This question creates a rapport between you and the patients, and it makes her know that the doctor is ready to listen and help her. What are you doing to cope with grief after losing your husband? This question will help the care provider assess the approaches the patient is using to cope with grief and be able to identify the ones working and not working for the patient. Are you living with someone at home, and are you following your regimen correctly? By asking this question, the care provider will understand the type of support system available at home and know which support to prescribe for the patient and if the support at home is helping the patient follow her regimen correctly. People in the patient’s life to speak to or get feedback from to further assess the patient People in the patient’s life to speak to include her children, her aide, and close friend per her authorization. The feedback I will get from these people will help me know the severity of the patient’s problem. Some of the questions I will ask them are; 1. Has the patient been experiencing worse symptoms of depression since her husband’s dead? This question will help me understand people close to her can know when she is depressed. 2. Does the patient complain about her treatment regimen? This question will allow me to know the side effects of the treatment if any. 3. Has the sleeping patterns changes recently? This question will help me understand the severity of insomnia. Physical and diagnostic tests The physical exams appropriate for this patient include heart rhythm, eye assessment, and oxyhemoglobin saturation. The diagnostic tests for this patient include polysomnography and actigraphy tests. These tests will be used to measure the patient’s sleep patterns. The actigraphy measures sleep efficiency, sleep latency, and total sleep time, and polysomnography will diagnose sleep disorders (Niel et al., 2020) Differential diagnoses for the patient The patient’s differential diagnoses include generalized anxiety disorder, major depressive disorder, and restless leg syndrome. Major depressive disorder (MDD) is likely to explain why the patient is experiencing insomnia. MDD’s clinical presentation include insomnia, difficulty concentrating, appetite loss, and hopelessness. The patient’s husband’s loss contributed to depression, which affected her sleeping pattern. According to Bennabi et al. (2019), patients with MDD are at risk of experiencing sleeping disorders. Since the patient is responding to grief, her chances of developing MDD are high. Pharmacologic agents and their dosing Selegiline Transdermal patch. Apply 6mg daily dose, which is applied every day. If symptoms do not improve, the dose can be increased by 3mg daily for two weeks until it reaches a maximum of 12gm daily. The drug inhibits Monoamine Oxidase-B isoenzyme (Bied et al., 2015). Eszopiclone. The required dose is 3mg, which is administered orally before the patient goes to bed. It is the first-line drug for insomnia, and it interacts with gamma-aminobutyric acid (GABA) receptors at the allosterically binding sites at the benzodiazepine receptors. The drug works by slowing brain activities to allow sleep. The drug induces sedation and hypnosis hence causing sleep (Dixon et al., 2015). Since the patient is complaining of insomnia, eszopiclone will be appropriate in improving this symptom. Drug therapy contraindications Contraindications of using selegiline transdermal include increased risks of serotonin syndrome. The drug contraindicates in the patients taking selective serotonin reuptake inhibitors, mirtazapine, and other vasoconstrictors and analgesics. Check points After administering these drugs, the patient will be assessed after a four-week interval to determine if the symptoms have improved. If the symptoms have not improved after four weeks, selegiline transdermal will be increased by 3mg for four weeks until 12gm, which is the maximum dose per day. If the symptoms improve within the first four weeks, the regimen will be maintained until the patient completes the dose. After completing the dose, the patient will sleep well and the symptoms of depression will be well managed. References Bennabi, D., Charpeaud, T., Yrondi, A., Genty, J. B., Destouches, S., Lancrenon, S., … & Haffen, E. (2019). Clinical guidelines for the management of treatment-resistant depression: French recommendations from experts, the French Association for Biological Psychiatry and Neuropsychopharmacology and the fondation FondaMental. BMC psychiatry , 19 (1), 1-12. https://doi.org/10.1186/s12888-019-2237-x Bied, A. M., Kim, J., & Schwartz, T. L. (2015). A critical appraisal of the selegiline transdermal system for major depressive disorder. Expert review of clinical pharmacology , 8 (6), 673-681. https://doi.org/10.1586/17512433.2016.1093416 Dixon, C. L., Harrison, N. L., Lynch, J. W., & Keramidas, A. (2015). Zolpidem and eszopiclone prime α1β2γ2 GABAA receptors for longer duration of activity. British journal of pharmacology , 172 (14), 3522-3536. https://doi.org/10.1111/bph.13142 Niel, K., LaRosa, K. N., Klages, K. L., Merchant, T. E., Wise, M. S., Witcraft, S. M., Hancock, D., Caples, M., Mandrell, B. N., & Crabtree, V. M. (2020). Actigraphy versus polysomnography to measure sleep in youth treated for craniopharyngioma. Behavioral sleep medicine , 18 (5), 589-597. https://doi.org/10.1080/15402002.2019.1635133

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2025 Prepare a 10 15 slide PowerPoint presentation with speaker notes that examines the significance of an organization s culture

Organizational Culture and Values 2025

Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization’s culture and values. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end. Outline the purpose of an organization’s mission, vision, and values. Explain why an organization’s mission, vision, and values are significant to nurse engagement and patient outcomes. Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed. Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration. Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective. While APA style 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. Here is some information that can be used to support the paper: Read “The Organization’s Safety Culture, Its Indicators and Its Measurement Capabilities,” by Halaj, Kutaj, and Boros, from CBU International Conference Proceedings (2018). URL: https://search-proquest-com.lopes.idm.oclc.org/docview/2155893073?accountid=7374 Read “Developing the Organizational Culture in a Healthcare Setting,” by Nightingale, from Nursing Standard (2018). URL: https://search-proquest-com.lopes.idm.oclc.org/docview/1992715222?accountid=7374 If you can find any other articles that can support answering the questions above, please add. There needs to be at least 3 articles.

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2025 Patient Management and Delegation Complete the Patient Management and Delegation virtual simulation activity which can be found by clicking

Patient Management and Delegation 2025

Patient Management and Delegation Complete the Patient Management and Delegation virtual simulation activity which can be found by clicking the Enter Simulation link at the top of the course. From the menu that appears select Virtual Clinical Scenarios and then click Patient Management Delegation. Then debrief on the experience by creating a VoiceThread, video or a written essay. Reflect on your feelings while fulling the role of the charge nurse in the simulated activities on delegation and caseload management. Consider how you utilized the experience and efficiency information provided. Summarize the responsibilities, including planning, coordinating and evaluation of nursing resources, managed by the charge nurse in the simulated activity. Reflect on any correct and incorrect decisions and responses that you would change if you were to repeat this activity. Describe what you learned in this experience that will be incorporated into your clinical practice. References are not required for this reflection. APA format is required for page set up for essay or PowerPoint. Examples of work to show mastery: 3-4 page paper – APA format

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2025 Management Orientation Program Proposal You have the opportunity to create a proposal to present to the leadership team

Management Orientation Program Proposal 2025

Management Orientation Program Proposal You have the opportunity to create a proposal to present to the leadership team for the orientation of new nurse managers. This project will include the creation of an orientation using leadership and management topics that will be selected to support the nurse manager as he or she transitions into the new role. This project will compile specific topics, resources and facilitators to support a new nurse manager as they get acclimated to the organization or unit. APA citations expected. Your proposal should include: Introductory and concluding remarks Identify 8 specific topics to support the new nurse manager Learning objectives for the lesson(s) Rationale for including each topic with a synthesis of professional literature Recommendation of internal and or external materials for each topic Recommendation of a facilitator for each topic Rationale listing why the materials and facilitator(s) are the most appropriate choice for that topic Two or more scholarly resources to support the rationales Support your discussion and opinions with facts, relevant examples from personal nursing practice. All submissions must have a minimum of two scholarly references to support your work. Examples of work to show mastery: 10-12 slide PowerPoint presentation – APA format

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