2025 Please make sure you include a title page and that you answer each question with a detailed rationale as well

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Nursing Case Study 2025

Please make sure you include a title page and that you answer each question with a detailed rationale as well as credible sources to back up your answers. Make sure you use your textbook, peer reviewed journals or reliable websites like those ending in .edu, .gov and .org. There can be more than one correct answer to the multiple choice questions. They are choose all that apply. Mr. Charles Lamont is a 45-year-old patient who is visiting his primary care physician for his an annual checkup. His wife is waiting for him in the lobby; she is hoping that Mr. Lamont will tell the physician about his recent bout of coughing and shortness of breath. Mr. Lamont works for a construction company as a heavy machine operator. He smokes 1½ packs of cigarettes per day. His wife has been encouraging Mr. Lamont to stop, but he has not showed any interest in quitting. Laura, the registered nurse, takes Mr. Lamont to an examination room. Laura asks him about his overall health and he tells her about a nagging cough and how he sometimes feels short of breath. He then denies any other health problems. Laura takes Mr. Lamont’s vital signs and gets the following results: blood pressure 156/94 mm Hg, temperature 99.8° F orally, apical pulse 104 beats/min, respirations 25 breaths/min and regular, and pulse oximetry 95%. Mr. Lamont asks Laura if everything is normal. Before she answers, she reviews the results and determines which of the results are abnormal. What are Laura’s findings? What would be normal for any of these that are not normal? The primary care physician examines Mr. Lamont and tells him he should quit smoking. He gives him an antihypertensive medication to help lower his blood pressure. Mr. Lamont asks Laura if she can teach his wife how to take his blood pressure. Laura agrees and brings Mrs. Lamont in to explain the process. Laura decides that she will use demonstration to teach Mrs. Lamont the procedure, but she also wants to explain some important concepts. What should she include? Select all that apply. A. Choose a cuff that is the right size. B. Ensure that the patient is sitting or lying. C. Support the extremity. D. Ensure proper cuff application. Mr. Lamont tells Laura that he doesn’t understand how smoking could influence his blood pressure. How should Laura respond? Mr. Lamont tells his wife that the physician told him his respiratory rate was increased. Mrs. Lamont asks Laura what could cause him to breathe faster. What factors could cause his increased respirations? Select all that apply. A. Smoking B. Medications C. Increased activity D. Pain

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2025 No Plaigarism I need 1 paragraph on what hypertension is 1 paragraph on on Chronic renal failure and the

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Week 5: Concept Process Assignment Guidelines #2 2025

No Plaigarism!! I need 1 paragraph on what hypertension is.1 paragraph on on Chronic renal failure and the third paragraph need to be about how they connect including side affects and how a nurse can help prevent it from reoccuring. Complete an analysis reviewing how the selected concept and systems disorder is related.

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2025 Part I Define the following ethical perspectives in your own words A minimum

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Week 10 assignment: Ethical Perspective 2025

Part I Define the following ethical perspectives in your own words. A minimum of three sources must be utilized and cited properly with in-text citations and a reference list. Avoid using direct quotes. If you summarize or paraphrase information in your own words, you must cite sources to provide credit for the ideas and concepts. A = Rule utilitarianism B = Kantian ethics C = Virtue ethics D = Care ethics E = Social contract ethics F = Subjective relativism G = Cultural relativism H = Divine command theory I = Act utilitarianism Part II Determine which ethical perspective above is primarily reflected in each of the ten arguments below and explain why. A minimum of three sources must be utilized and cited properly with in-text citations and in the reference list. Avoid using direct quotes. If you summarize or paraphrase information in your own words, you must cite sources to provide credit for the ideas and concepts. Arguments: Although many societies have practiced human sacrifice, human sacrifice was not considered wrong, even though we believe it is wrong in our culture. Therefore, human sacrifice within those cultures was not really wrong. Same-sex marriage is right because the Constitution offers equal protection under the law and society has agreed to follow the laws set forth in that document. “And the pig, though it has a split hoof completely divided, does not chew the cud; it is unclean for you. You must not eat their meat or touch their carcasses; they are unclean for you.” (Leviticus 11:7–8) Your neighbor runs into her house screaming, blood dripping down her arm. Five minutes later a man with a bloody machete comes running down the street and stops and asks you where she went. You answer honestly “in her house.” Margarita spoke with her family and they all agreed that they would let her take the medication that would allow her to die peacefully instead of in pain. Souerette watched over the children in the daycare meticulously. She knew which children she could trust alone because of their behaviors with each other. He does not have the right character and temperament to be a state governor. He avoided service by faking a medical condition, he rarely tells the truth, he eats and drinks too much, and he has little patience with people. Patient autonomy and free choice are morally correct. I believe that it is perfectly fine to lie about some things. Wearing a mask when engaging with the public is the right decision because it protects the welfare of those in your community.

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2025 Assignment Decision Tree for Neurological and Musculoskeletal Disorders To Prepare Review the interactive media piece assigned by your Instructor Reflect

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Assignment: Decision Tree for Neurological and Musculoskeletal Disorders 2025

Assignment: Decision Tree for Neurological and Musculoskeletal Disorders To Prepare Review the interactive media piece assigned by your Instructor. Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece. Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment. Write a 1- to 2-page summary paper that addresses the following: Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented. Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources. What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources. Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples. NOTE: CHECK FOR PLAGIARISM

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2025 Prompt First review the text readings and course resources you have so far studied In addition

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IHP 510 Final Project Milestone Two Guidelines and Rubric Situational Analysis 2025

Prompt: First, review the text readings and course resources you have so far studied. In addition, review your Final Project Milestone One and Module Four Worksheet submissions and instructor feedback to those submissions. The SWOT analysis you completed in the Module Four Worksheet is one method by which to conduct a situational analysis. Use this process to assist you as you complete the situational analysis in this milestone. Also refer back to the Bellevue: Community Health Needs Assessment to inform your analysis. Next, in 2 to 3 pages, conduct a situational analysis that analyzes the internal and external market factors that impact Bellevue Hospital. In addition, propose a service to market for the organization and develop marketing goals for this proposed service. The paper should explain how the proposed marketing goals align with the mission, vision, and strategic goals of the organization. Keep in mind that your marketing goals should follow the SMART goal framework (specific, measurable, achievable, realistic, and timely). This assignment needs to be completed by tomorrow, midnight. I have attached the rubric for this assignment as well as the assignments that are needed for reference. A SWOT worksheet is attached as well as the SWOT assignment completed in Module four as an example.

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2025 March 21 2010 was not EBP s date of birth but it may be the date

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Discussion: Where in the world is Evidence-Based Practice? 2025

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world. When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP. In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP. To Prepare: Review the Resources and reflect on the definition and goal of EBP. Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative). Explore the website to determine where and to what extent EBP is evident. Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

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2025 Post at least two dissemination strategies you would be most inclined to use and explain why Explain

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Changing the World Through Evidence-Based Practice 2025

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

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2025 Discussion Assessing Muscoskeletal Pain The body is constantly sending signals about its

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Assessing Muscoskeletal Pain 2025

Discussion: Assessing Muscoskeletal Pain The body is constantly sending signals about its health. One of the most easily recognized signals is pain. Musculoskeletal conditions comprise one of the leading causes of severe long-term pain in patients. The musculoskeletal system is an elaborate system of interconnected levers that provide the body with support and mobility. Because of the interconnectedness of the musculoskeletal system, identifying the causes of pain can be challenging. Accurately interpreting the cause of musculoskeletal pain requires an assessment process informed by patient history and physical exams. In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting. Note: By Day 1 of this week, your Instructor will have assigned you to one of the following specific case studies for this Discussion. Also, your Discussion post should be in the Episodic/Focused SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case Case 2: Ankle Pain A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a “pop.” She is able to bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy, what foot structures are likely involved? What other symptoms need to be explored? What are your differential diagnoses for ankle pain? What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottowa ankle rules to determine if you need additional testing? To prepare: With regard to the case study you were assigned: · Review this week’s Learning Resources, and consider the insights they provide about the case study. · Consider what history would be necessary to collect from the patient in the case study you were assigned. · Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? · Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. Note: Before you submit your initial post, replace the subject line (“Discussion – Week 8”) with “Review of Case Study ___.” Fill in the blank with the number of the case study you were assigned. By Day 3 Post · an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in week 5 resources. · Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. · List five different possible conditions for the patient’s differential diagnosis and justify why you selected each. Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! Read a selection of your colleagues’ responses.

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2025 APA format for SOAP NOTE 3 peer review articles 1 and half pages long please follow below instructions Analyze the

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need response for below discusssion 2025

APA format for SOAP NOTE 3 peer review articles 1 and half pages long please follow below instructions Analyze the possible conditions from your colleagues’ differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition and justify your reasoning case Study #3  Martha brings her 11-year old grandson, James, to your clinic to have his right ear checked S Cc: “Earache right ear” HPI: Patient is an 11-year-old Caucasian boy who was brought in by his grandmother after complaining about having a mild earache for the past two days. Patient states that the pain is worse when he falls asleep and that it has become harder for him to hear, grandmother believes that he feels warm but has not taken his temperature Medications: Patient does not take any medications PMH: No significant illnesses, shots are up to date FH: No history of previous ear concerns no family history of ear disease. During the school year, patient lives at home with his mother, father and he does not have pets. Patient is staying with grandmother and grandfather most of summer SH: Student in public school and is currently on summer break, has been spending a lot of time this summer in the pool per his grandmother that he is spending the summer with. ROS: general: negative for chills fever currently EENT: complains of mild right ear pain and mild hearing loss, denies tinnitus, denies pain in throat, or eye pain O VS: T 100.8, P 94, R 18, BP 98/64 General: Patient appears to be in mild pain, holding head to right side slightly HEENT: right tympanic membrane obscured, ear canal is read and has a musty odor from ear canal with small amount of watery drainage, head is normocephalic without signs of trauma, no nasal drainage, PEARL, no complaints of sore throat, no redness in throat SKIN: Warm and dry, good skin turgor, prominent tan NECK: No lymph node edema or signs of pain on palpation NEUROLOGICAL: No complaints of headache or dizziness Diagnostic results. WBC slightly elevated, low grade temp A Differential Diagnoses: 1) Acute Otitis Externa 2) Acute Otitis Media 3) Pharyngitis Primary diagnoses/presumptive diagnoses: Acute otitis media P – not indicated per template Assessing for a possible ear infection would require additional information from the patient in addition to a physical assessment of the ear and the patient. Obtaining background information including recent travel, activities, family history, trauma, history of previous illnesses and treatments that have been used for treatment that were successful or not successful. Diagnostic studies used to diagnose the specific pathogen would include obtaining a culture of purulent drainage, simple otoscopy was mostly used for diagnosing AOM (D’silva, 2013) or a more invasive way of evaluating white blood cell elevation is by completing a CBC which is not used as often as visual inspection of the ear canal. White blood cell count (WBC), a classical inflammation marker, is also used in many scoring systems during routine daily clinical practice (Kutlucan et al., n.d.). Using data from a CBC can also provide information about the patient’s overall health. Otitis externa Acute otitis externa is the most common infection of the external auditory canal (Demirel et al., 2018). Ball describes (2015) symptoms of otitis externa as having watery to purulent and thick drainage mixed with pus with a musty odor and usually occurs after swimming. Acute otitis media Acute otitis media is one of the most frequent bacterial infections in children, and one of the primary reasons for the prescription of antibiotics by pediatricians (Intakorn, n.d.). Otitis media can have an abrupt onset with fever, feeling of a blockage, and interferes with sleep. The middle ear fills with pus causing conductive hearing loss (Ball). Acute pharyngitis: Acute respiratory infections are one of the most common diseases, accounting for one of the main causes of patient visits to community health centers and hospitals (Yuniar, 2017). Ball (2015) describes a patient with acute pharyngitis as having a sore throat with deferred pain in ears and dysphagia with fever, malaise, fetid breath, abdominal pain and headache. 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. Demirel, H., Arlı, C., Özgür, T., İnci, M., & Dokuyucu, R. (2018). The Role of Topical Thymoquinone in the Treatment of Acute Otitis Externa; an Experimental Study in Rats. Journal of International Advanced Otology, 14(2), 285–289. https://doi- org.ezp.waldenulibrary.org/10.5152/iao.2017.4213 D’silva, L., Parikh, R., Nanivadekar, A., & Joglekar, S. (2013). A Questionnaire-Based Survey of Indian ENT Surgeons to Estimate Clinic Prevalence of Acute Otitis Media, Diagnostic Practices, and Management Strategies. Indian Journal of Otolaryngology & Head & Neck Surgery, 65, 575–581. https://doi-org.ezp.waldenulibrary.org/10.1007/s12070-012-0545- 2 Intakorn, P., Sonsuwan, N., Noknu, S., Moungthong, G., Pircon, J.-Y., Liu, Y., … Hausdorff, W. P. (n.d.). Haemophilus influenzae type b as an important cause of culture-positive acute otitis media in young children in Thailand: a tympanocentesis-based, multi-center, cross- sectional study. BMC PEDIATRICS, 14. https://doi-org.ezp.waldenulibrary.org /10.1186/1471-2431-2431-14-157 Kutlucan, L., Kutlucan, A., Basaran, B., Dagli, M., Basturk, A., Kozanhan, B., … Kos, M. (n.d.). The predictive effect of initial complete blood count of intensive care unit patients on mortality, length of hospitalization, and nosocomial infections. EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES, 20(8), 1467–1473. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=t rue&db=edswsc&AN=000380260000006&site=eds-live&scope=site Yuniar, C. T., Anggadiredja, K., & Islamiyah, A. N. (2017). Evaluation of Rational Drug Use for Acute Pharyngitis Associated with the Incidence and Prevalence of the Disease at Two Community Health Centers in Indonesia. Scientia Pharmaceutica, 85(2), 1–10. https://doi-org.ezp.waldenulibrary.org/10.3390/scipharm85020022

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2025 Assignment 2 Health Policy Proposal Analysis Policy Brief Nurses engaged in the policy

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Health Policy Proposal Analysis (Policy Brief) 2025

Assignment 2: Health Policy Proposal Analysis (Policy Brief) Nurses engaged in the policy arena often are asked to provide information on a health care topic of interest to policy makers. This is frequently accomplished through developing a policy brief. A policy brief advocates for a particular recommendation (prior to the enactment of a policy). Learning how to write a policy brief in a clear, succinct, scholarly, and professional manner is an essential skill for advanced practice nurses. For this Assignment, you will assess one of the recommendations from the Institute of Medicine’s “ The Future of Nursing: Leading Change, Advancing Health: Report Recommendations. You will then develop a policy brief to advocate for this recommendation (the written policy brief is due in Week 7). To prepare: Review the Lavis et al. article on preparing and writing policy briefs provided in the Learning Resources (See attached file). Select one of the recommendations within the IOM The Future of Nursing: Leading Change, Advancing Health: Report Recommendations to focus on for this assignment. (For this assignment, I have selected RECOMMENDATION 1, please see attached file) Research the history of the problem behind the recommendation and what has been done to try to solve the problem. What does the recommendation say should be done? Are there any groups, nursing and others, currently supporting work to implement the recommendation (e.g., Kaiser Family Foundation, professional organizations)? Does the recommendation suggest specific groups that should be involved in the implementation? Think critically about how the recommendation should be implemented – did the IOM get it right? What other strategies are possible to consider? By Sunday 04/15/2018 12pm, To complete: Develop a scholarly and professionally written 2- to 3-page single-spaced policy brief on the recommendation you selected from the IOM report following the format presented in the Lavis et al. article (follow the exact format, including how the layout of the paragraphs, and the way the references [at least 10 scholarly references] are displayed at the end, numbered in-text and number plus citation at the end, copy the same exact format as the article please). (See attached file for the article). Include the following: Short  introduction with statement of the problem. The  selected recommendation (from the IOM Report) Background Current  characteristics The  impact of the recommendation from the perspective of consumers, nurses, other  health professionals, and additional stakeholders Current  solutions Current  status in the health policy arena Final  conclusions Resources  used to create the policy brief Required Readings Hyder, A., Syed, S., Puvanachandra, P., Bloom, G., Sundaram, S., Mahmood, S., … Peters, D. (2010). Stakeholder analysis for health research: case studies from low- and middle-income countries. Public Health, 124(3), 159–166. This study demonstrates how the engagement of stakeholders in research and policy making can assist in the successful implementation of policy proposals. The authors propose that by engaging stakeholders, researchers and policy makers are provided with multiple perspectives on proposed policies, which can lead to greater success with policy adoption and implementation. Lavis, J. N., Permanand, G., Oxman, A. D., Lewin, S., & Fretheim, A. (2009). SUPPORT Tools for evidence-informed health Policymaking (STP) 13: Preparing and using policy briefs to support evidence-informed policymaking. Health Research Policy & Systems, 71–79. doi: 10.1186/1478-4505-7-S1-S13 The purpose of a policy brief is to communicate an issue clearly and definitively to policy makers. The authors of this article propose an outline for policy briefs and also stress the importance of using research when creating a policy brief. Lowery, B. (2009). Obesity, bariatric nursing, and the policy process: The connecting points for patient advocacy. Bariatric Nursing & Surgical Patient Care, 4(2), 133–138. This article provides an example of nurse involvement in policy making by examining a bariatric nursing issue. The author stresses that nurses, in their patient-advocacy role, have a responsibility to be involved in the health care policy process. Moore, K. (2006). How can basic research on children and families be useful for the policy process? Merrill-Palmer Quarterly, 52(2), 365–375. Institute of Medicine. (2010). The future of nursing: Leading change, advancing health: Report recommendations. Retrieved from http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf Introduced in Week 2, this IOM report highlights four key recommendations in its proposal for the future directions of the nursing profession. These recommendations focus on nursing practice, education and training, partnerships with other healthcare professionals, and workforce planning and policymaking. National Center for Policy Analysis (2010). Ideas changing the world: Free-market health care policy. Retrieved from http://www.ncpa.org/healthcare/ The NCPA is a nonprofit, nonpartisan organization that promotes private sector solutions to public policy issues (See attached file and choose recommendation 1). Slack, B. (2011). The policy Process. Retrieved from http://people.hofstra.edu/geotrans/eng/methods/ch9c2en.html The author presents a policy-making framework and provides details on the four steps of that process: problem definition, policy objectives and options, policy implementation, and policy evaluation and maintenance. Required Media Laureate Education, Inc. (Executive Producer). (2011). Healthcare policy and advocacy: Agenda setting and the policy process. Baltimore: Author. Note: The approximate length of this media piece is 17 minutes. Dr. Kathleen White and Dr. Joan Stanley share their insights into agenda setting and how issues are moved forward into the policy process. Optional Resources Barnes, M., Hanson, C., Novilla, L., Meacham, A., McIntyre, E., & Erickson, B. (2008). Analysis of media agenda setting during and after Hurricane Katrina: Implications for emergency preparedness, disaster response, and disaster policy. American Journal of Public Health, 98(4), 604–610. Jennings, C. (2002). The power of the policy brief. Policy, Politics & Nursing Practice, 3(3), 261–263. doi: 10.1177/152715440200300310 Neumann, P. J., Palmer, J. A., Daniels, N., Quigley, K., Gold, M. R., & Chao, S. (2008). A strategic plan for integrating cost-effectiveness analysis into the US health care system. American Journal of Managed Care, 14(4), 185-188. Plan, Policy, Procedure Relationship Diagram. (n.d.). Retrieved from http://www.informationsecurityintel.com/docs/Fig.%204.3.pdf

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