WEEK 5: DISCUSSION QUESTION IN DISCUSSION BOARD DERMATOLOGY CASE STUDY ACC/AHA Guidelines 2025

Week 5 Discussion question worth 5 points Discussion question due by Sunday, 11:59 pm. Following Case Study Question: As an NP student, needs to determine the medications for Tinea Pedis. RX format: Medication, SIG: Instructions (Route, frequency, location, duration), Dispense #, Refills, ? According to the ACC/AHA Guidelines, what antifungal medication should this patient be prescribed? Write her complete prescriptions using the prescription writing format and SOAP (subjective, objective, assesment, plan) format. Please include patient education regarding the selected medication therapy. Please choose a medication to treat tinea pedis that would not exacerbate other patient’s symptoms. You may order labs for baseline before starting the therapy and specify which labs. Next to the chosen medication therapy, please choose references to support your treatment choice of medication or lab for baseline and follow up of therapy ordered. Specify when to refer the patient after therapy and why ? WEEK 5: DISCUSSION QUESTION IN DISCUSSION BOARD DERMATOLOGY CASE STUDY ACC/AHA Guidelines Chief complaint: “ I have scaly crust in sole of feet and moist white crusts between my toes since I started using boots warm weather” for past 2 weeks. HPI: E.D a 45-year-old hispanic female presents to the clinic for complaint of itching in feet and scaly curst in sole of feet and moist white crusts between toes. She developed a red, itchy rash consistent with hypersensitivity reaction. She also indicates that she has noticed that her symptoms are worsening for past 2 weeks and it started after she started to use boots in warm weather. She has symptoms of red, itching rash consistent with a hypersensitivity reaction and tinea pedis. She wore about 2 weeks ago her mother’s shoes without socks and her mother has history of Tinea Pedis. She has tried lotrimin AF cream for itching and it did not help relief her symptoms. She has not tried other remedies. Denies associated symptoms of fever, chills, pain or any other symptoms. PMH: Diabetes Mellitus, type 2. Peripheral Vascular disease. Varicose Veins. Surgeries: None Allergies : Penicillin Vaccination History: She receives an annual flu shot. Last flu shot was this year Social history: High school graduate, married and no children. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago. Family history: Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis. ROS: Constitutional: Negative for fever. Negative for chills. Respiratory: No Shortness of breath. No Orthopnea Cardiovascular: + 1 pitting leg edema. + Varicose veins. Skin: + rash crusted white in feet and inter-digit in feet. Psychiatric: No anxiety. No depression. Physical examination: Vital Signs Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0 po P 88 R 22, non-labored HEENT : Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness. NECK : Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS : No Crackles. Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART : Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. 1+ pitting edema ankle bilaterally. ABDOMEN : No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY : No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL : Slow gait but steady. No Kyphosis. SKIN: +Dryness, No open lesions. +Dry crusts in sole of feet. + moist crust in between toes. PSYCH : Normal affect. Cooperative. Labs :: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98 A: Primary Diagnosis: Tinea Pedis Secondary Diagnoses: Atopic Dermatitis Xerosis Pruritus Differential Diagnosis: Peripheral Vascular Disease (PVD) (173.9) P: Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain Labs: CBC with diff to evaluate for infection and baseline lab. CMP, PT/INR to evaluate status of liver and kidneys. Referrals : may refer based on effect of medication therapy given for 2 weeks. Follow up : return to office in 2 weeks to evaluate her symptoms. Additional lab results: Fungal culture confirm that she has fungal infection. Question: As an NP student, needs to determine the medications for Tinea Pedis. According to the ACC/AHA Guidelines, what antifungal medication should this patient be prescribed? Write her complete prescriptions using the prescription writing format. Write her complete prescriptions using the prescription writing format and SOAP (subjective, objective, assesment, plan) format. Next to the chosen medication therapy, please choose references to support your treatment choice of medication or lab for baseline and follow up of therapy ordered. Specify when to refer the patient after therapy and why ? Choose a medication to treat the patient’s condition of tinea pedis that would not exacerbate other patient’s symptoms. You may order labs for baseline before start of therapy and specify which labs.

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COMMENT SUZZETE 2025

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS The healthcare organizations are moving to have more bachelor prepared nurses so; they can help make patient care decisions. The Institute of Medicine (IOM) recommends nurses to have a BSN or higher to help with the overall changing healthcare system. By 2020, they want 80% of nurses to have a BSN or higher. Why? Nurses need to have an expanded more knowledge of different areas of nursing and evidence-based practice. As hospital care has become more complex, nurses must make critical decisions associated with care for sicker, frailer patients and work with sophisticated, life-saving technology (Garner, 2011). Evidence-based practice is vital to provide the most effective patient care to improve patient outcomes because patients are becoming more complex. Two ways that the author will continue to integrate EBP into their practice is continued education on the subject at hand to keep up to date on changes in patient care to help with improvement in patient care. Also, another way is to Engage colleagues and educate them on new EBP practices, studies, or interventions that may benefit their work environment or patients (Chrisman, Jordan, Davis, & Williams, 2014) Obstacles to the plan for the author would be nurses resisting change and management not helping with the implementation of the plan. Education to the nurses will be the first of why this is helpful for our patient’s outcomes versus the old way of doing things. Showing articles and statistics will help bring the point across. Getting management on board to help with implementation as well. Management will be made aware that providing the evidence-based care will improve patient outcomes and decrease healthcare costs. References Chrisman, J., Jordan, R., Davis, C., & Williams, W. (2014). Exploring evidence-based practice research. Retrieved from https://www.nursingcenter.com/evidencebasedpracticenetwork/home/journalarticle.aspx?Article_ID=2492783 Garner, C. (2011, January 11). IOM Advocates for Higher Levels of Nursing Education [Blog post]. Retrieved from https://www.americansentinel.edu/blog/2011/01/10/iom-advocates-higher-nursing-education/

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Nursing 2025

Select a health care organization in your community to conduct an interview with an appropriate risk management employee. The organization can be your current employer, or a different health care facility in your community. Acute care, urgent care, large multi-provider private medical clinics, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. Make sure to select an individual who can provide sufficient information regarding how that organization manages risk within its facility to answer the questions below. In your interview, address the following: Identification of the challenges the organization faces in controlling infectious diseases. Risk management strategies used in the organization’s infection control program, along with specific examples. How the facility’s educational risk management program addresses key professional issues, such as prevention of negligence, malpractice litigation, and vicarious liability. Policies the facility has implemented that address managing emergency triage in high-risk areas of health care service delivery. Strategies the facility utilizes to monitor and maintain its risk management program. Post-interview, compose a 750-1,000 word summary analysis of the interview to include the questions above as well as the following elements: A brief assessment of the organization’s risk management program, including what works well and what could work better (the pros and cons). Action steps you would take to improve the program. Select one area and provide your rationale and possible steps required to implement your suggestion. Cite appropriate references as needed to support your statements and rationale. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

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Writing Assignment #1: Immune Diseases 2025

HPRS-2301.WW1: Pathophysiology Read Chapter 2: Immunity and Disease Using your textbook as your reference for immune diseases, find a recent article in Medscape (a year or less), about an immune disease of your choice and summarize the article with your own words. (1 – 2 pages, double space) . Answer : How the information provided by your textbook helped you to understand the article? Was it helpful in any way? Explain. Read another classmate assignment and post a comment. If this is your first time using Medscape, you will need to create a free account so you may have access to the content. Include article’s information ( author, title, date of release). Use APA format. Submit via Canvas.

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English Composition 2025

Point of View, Character, and Theme By the due date assigned, post your response of at least 150-200 words to the Discussion Area. By the end of the week, comment on at least two of your classmates’ submissions. IMPORTANT NOTE: Your instructor will assign 3-5 short stories for the class to read and discuss this week. Check the Week 4 Announcement for a list of the assigned stories. You must choose one of these stories to earn credit on the assignment. Prompt: Select one of the stories assigned by your instructor, and develop a response to the following: Identify the point of view used in the narration of the story. Provide a specific example from the story to illustrate your argument. Discuss how this perspective affects your reading and interpretation of the story. Consider how a different type of narration might alter the effect of the story. Point of view refers to the perspective from which the story is narrated. First person: In first person, the story is told from the perspective of the narrator, using first-person pronouns. (“We are driving off the bridge!” I screamed.) Second person: This is not commonly used. In second person, the narrator addresses the reader as “you,” which gives the audience the feeling that they are a part of the story. (Example: As you drive off the bridge, you scream, but no one hears you.) Third person: The story is told using third-person pronouns (“The car is driving off the bridge!” he shouted), and the narrator is either godlike in the ability to see and know everything (third-person omniscient) or not all-knowing with knowledge limited to the perspective of only one character (third-person limited). Tips Remember to provide evidence for your claims in the form of quoted passages from the story. Quotations, paraphrases, and summaries should be cited according to APA rules of style, including in-text and reference citations. Quoted material should not exceed 25% of the document. Check grammar and spelling before posting. Your replies to classmates should be at least a paragraph in length and made with an eye to expand, clarify, defend, and/or refine their thoughts. Consider asking questions to further meaningful conversation. Participation must be completed by the end of the week to earn credit. Post directly to the discussion; do not attach a document. Example APA Reference from the eBook Welty, E. (2013). A worn path. In X.J Kennedy and D Gioia (Eds.) The Literature Collection: An E-Text [VitalSource digital version] (p. 22). Boston, MA: Pearson Education, Inc.

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