2023 you have explored various body systems neurological cardiovascular respiratory and hematological These four systems work together along

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Nursing 2023 The Pathophysiology of Disorders

you have explored various body systems neurological cardiovascular respiratory and hematological These four systems work together along 2023 Assignment

you have explored various body systems: neurological, cardiovascular, respiratory, and hematological. These four systems work together along with other body systems to complete a myriad of functions. For this reason, when disorders occur within one body system, it can create potentially devastating effects throughout the entire body. For instance, Parkinson’s disease is a disorder of the central nervous system, yet its alterations actually affect multiple body systems from the cardiovascular system to the gastrointestinal system. In this Assignment, you examine alterations associated with disorders, as well as the impact of the alterations on multiple body systems.

To Prepare

  • From the list below, select a disorder of interest to you:
    • Alzheimer’s disease
    • Asthma in children
    • Chronic obstructive pulmonary disease (COPD)
    • Congestive heart failure
    • Hepatic disease (liver disease)
    • Hypertension
    • Hyperthyroidism and hypothyroidism
    • Seizures
    • Sepsis
  • Identify alterations associated with your selected disorder. Consider the pathophysiology of the alterations. Think about how these alterations produce pathophysiological changes in at least two body systems.
  • Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder. 
  • Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology and clinical presentation of your selected disorder.

To Complete

Develop a 5- to 10-slide PowerPoint presentation that addresses the following:

  • Describe your selected disorder, as well as associated alterations. Explain the pathophysiology of the alterations, including changes that occur in at least two body systems.
  • Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as diagnosis and treatment of your selected disorder.
  • Construct a mind map for the disorder you selected. Include the epidemiology, pathophysiology of alterations, risk factors, and clinical presentation, as well as the diagnosis and treatment of the disorder.
  • APA Citation, 4 to 5 References within 5 years.

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2023 Respond to at least two of your colleagues on 2 different days who were assigned different case

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Nursing 2023 Week 8 Discussion Ankle Pain

Respond to at least two of your colleagues on 2 different days who were assigned different case 2023 Assignment

Respond to at least two of your colleagues on 2 different days who were assigned different case studies than you. 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.

SW, 46, F, Caucasian

S.

CC: Bilateral ankle pain

HPI: SW, 46-year-old Caucasian female presents with bilateral ankle pain that started three days ago. Pt states that her right ankle is more of a concern than her left. States she was playing soccer over the weekend when she heard a “pop.” Claims she was running to kick the soccer ball when she slipped on the grass and fell on top of her right foot. She thinks she “rolled” her foot inward. States she is able to bear weight on both ankles, but the right is uncomfortable. Rates pain 7/10 in intensity for her right ankle, and 3/10 in intensity for her left ankle. She has been taking OTC 600mg ibuprofen every 8 hours for two days and has minor relief. States her right ankle pain is a 4/10 pain with ibuprofen, but only lasts a few hours. Confirms icing both ankles three times a day for the past three days. States walking, and standing is uncomfortable, and most movement makes the pain worse.

Current Medications: OTC 600mg Ibuprofen q 8 hours PRN pain

Allergies: NKA

PMHx: No chronic conditions; UTD on immunizations, last TdAp 2011, last influenza vaccine 10/2020.

Soc Hx: Lives at home with her husband, 11-year-old daughter, 13-year-old son, and 16-year-old son; works as stay at home for the past 16 years; lives in a multi-family home neighborhood with several friends in the neighborhood; negative tobacco use; consumes moderate alcohol, estimates 2-3 glasses of wine per week; exercises 4 days a week and plays soccer over the weekends with her 16-year-old to help him practice; denies cell phone use while driving; not currently on birth control and LMP was 2 /12 weeks ago; practices safe sex

Fam Hx: both parents still living; mother, 68-years-old, has history of hyperlipidemia; father, 70-years-old, has a history of HTN, hyperlipidemia, and CHF; paternal grandfather died at age 80 of pancreatic cancer; paternal grandmother died at age 83 of pneumonia; maternal grandfather, 89-years-old, has a history of COPD, HTN, and CHF; maternal grandmother, 86-years-old, has a history of kidney disease; 11-year-old daughter has a history of asthma; 13-year-old son has a history of anxiety, 16-year-old son is healthy; husband, 49-years-old suffers from HTN.

ROS:

GENERAL:  Right ankle pain, 7/10 pain; no weight loss, fever, chills, weakness or fatigue.

HEENT:  

  • HEAD: denies headaches, dizziness, head injuries, or past head injuries
  • EYES: wears corrective lenses for about 20 years; denies any vision changes
  • EARS: denies any changes in hearing; no history of injuries; denies hearing aid use
  • NOSE: denies any changes in sense of smell; denies nasal discharge or swelling
  • THROAT: denies mouth sores or lesions; denies sore throat, dysphagia, or any injuries or surgeries to throat

SKIN: denies contact dermatitis or any other skin conditions; confirms bruising of right ankle

CARDIOVASCULAR:  denies chest pain, chest pressure or chest discomfort; denies palpitations or edema

RESPIRATORY:  denies shortness of breath, cough, or wheeze

GASTROINTESTINAL:  denies anorexia, nausea, vomiting or diarrhea; denies abdominal pain

NEUROLOGICAL: denies headaches, head injuries, dizziness, seizures, tremors, difficulty swallowing or speaking; denies gait disturbances

MUSCULOSKELETAL:  confirms right ankle pain near the right lateral malleolus; tenderness and swelling noted on right ankle; denies joint pain, stiffness, swelling, redness, or heat in upper extremities and left lower extremity; denies arthritis, hip dysplasia or scoliosis

O.

VITALS: BP 126/72 SpO2 99% T 98.7F HR 86 RR 18 W 148 Ht 5’7”

GENERAL:  No acute distress; AAO x3; patient sitting comfortably in patient chair

HEENT:  

  • HEAD: normocephalic; no visible abnormal findings
  • EYES: no visual loss, double vision, or yellow sclera; conjunctiva moist and pink; PERRLA
  • EARS: no muffled hearing; no discharge
  • NOSE: nasal mucosa pink; nares patent
  • THROAT: oral mucosa moist and pink

SKIN: no freckles, birthmarks, or other discoloration of upper extremities; dark purple bruising of right ankle noted; no discoloration of lower left extremities; CRT <3 s of all extremities; no tenting of skin

CARDIOVASCULAR:  S1 and S2 audible heart sounds; no gallops, murmurs, or thrills; no edema

RESPIRATORY:  no adventitious breath sounds in all lung quadrants

GASTROINTESTINAL:  abdomen symmetric, rounded, no visible abnormal findings; no abdominal tenderness; no masses; normoactive bowel sounds in all quadrants

NEUROLOGICAL: steady, narrow-based gait; Romberg negative; 2+ reflexes in upper extremities and lower extremities; CN II-XII grossly intact; no focal neurological deficits

MUSCULOSKELETAL:  + right ankle pain near the right lateral malleolus; + tenderness and swelling noted on right ankle; denies joint pain, stiffness, swelling, redness, or heat in upper extremities and left lower extremity; denies arthritis, hip dysplasia or scoliosis; 5/5 muscle strength in upper and lower left extremities; 2/5 muscle strength in lower right extremity; decreased ROM of right ankle, 5 degrees eversion of right foot, 10 degrees inversion of right foot, 5 degrees dorsiflexion of right foot, 20 degrees plantar flexion of right foot; decreased Rom of left foot, 20 degrees inversion, 10 degrees eversion, 20 degrees dorsiflexion, 45 degrees plantar flexion; Full ROM of upper extremities; + Ottawa ankle rules (OAR): bone tenderness at posterior edge of lateral and medial malleolus; decreased ability to bear weight on right extremity

Diagnostic results:

  • X-Ray of the bilateral ankles and bilateral lower leg: The X-Ray will help us determine if SW fractured her right lateral malleolus. X-Rays give us a good view of bone structure and can help rule out fracture, break, or strain. OAR is always to be performed before ordering imaging. Curr & Zyrichis (2015) state that providers are to perform an ankle X-ray if the patient is unable to bear weight, 4 steps immediately after injury and in ED, and has bone tenderness at the posterior edge or tip of malleolus. If a patient does not present with both characteristics, they are OAR -. Without bone pain, which is determined using OAR, an X-ray is not indicated. SW had + OAR: bone tenderness at posterior edge of lateral and medial malleolus and decreased ability to bear weight on her right ankle. She had swelling, tenderness, and bruising near the right lateral malleolus.
  • MRI: An MRI is used to get a more detailed look at tissues, ligaments, and organs in the body. Unlike an X-Ray, which can only look at bones, the MRI will help us determine any ligament strain or tears that SW may have had. SW states that she heard a “pop” while she was playing soccer. Most of the time, the popping of the ankle is the sound of the ligament tearing. A crack sound may indicate a fracture or break, and a popping sound usually indicates an ankle sprain. “You hear the popping sound of your ligaments tearing completely, and you can’t put weight on your ankle” (“Common Injuries, 2019). Those characteristics signify an ankle sprain. Knowing that SW heard a “pop” sound when she injured her ankle, leads us to believe a ligament was involved. Therefore, an MRI is an appropriate diagnostic in this scenario.
  • Stress-View Radiography: When an X-Ray doesn’t give a clear enough view of a fracture or break, a stress-view radiography can be used to help determine between an ankle sprain or an injury that may require casting. “because a deltoid injury is not seen on plain radiographs, an unstable injury can appear to be a stable one on a standard mortise view. The quick and easy way to differentiate these two are via stress view of the ankle” (Guiney, 2016).

A.

Differential Diagnoses:

  • Right Ankle Sprain/Soft-Tissue Injury: An ankle sprain is typically caused by an inversion or eversion of the ankle during strenuous activity, a fall, exercise, or sports activities. SW was playing soccer when she slipped on the grass and rolled on her ankle, which she the heard a “popping sound.” The popping sound indicates a ligament tear or strain, which results in an ankle sprain. “In soccer players, playing on natural grass as opposed to artificial turf increases risk for lateral ankle sprain” (Chen, McInnis, & Borg-Stein, 2019). She had positive right ankle pain near the lateral malleolus, as well as tenderness, swelling, and bruising. Her muscle strength of her right ankle was 2/5 compared to 5/5 for her left ankle. She had decreased ROM of her right ankle and positive OAR. All findings point to an ankle sprain. With proper radiography and an MRI, we will be able to diagnose a soft-tissue injury.
  • Peroneal Tendon Tear: “Pain with resisted eversion and tenderness to palpation are common with peroneal tendon tears. Passive inversion of the hindfoot may provoke pain as well. Subluxation of the peroneal tendons over the posterior border of the fibular may be demonstrated on physical examination” (Danna & Brodsky, 2020). SW had positive findings of swelling/subluxation near the right lateral malleolus, located at the peroneal tendons. ROM was decreased with 10 degrees inversion and 5 degrees eversion of the right foot. SW also heard a “popping sound” at the time of injury, indicating a possible tendon tear, rupture, or sprain of her ankle. An MRI would help determine this diagnosis.
  • Ankle Tendonitis: Tendonitis occurs when a tendon is inflamed and typically presents with a patient unable to bear weight, swelling, pain, and pain with palpation. ROM is usually decreased as well.  It occurs when the ankle is manipulated, usually continuously for a period of time, but can also occur with an injury. SW had + OAR (bone tenderness), swelling, tenderness, unable to bear weight, and decreased ROM. Considering SW plays soccer very regularly with her older son, it is possible that with repetitive overuse of her ankles and feet could have caused tendinitis. It is also important to wear appropriate shoes during exercise. Without appropriate support of her shoes, tendinitis can occur. It is possible SW is suffering from tendonitis considering her symptoms. An MRI would help determine this diagnosis.
  • Right Ankle Fracture: With ankle fractures, individuals can hear a “crack” sound. Seeing as SW heard a “pop,” it is not likely she suffered a fracture. With fractures, pain is usually relieved with rest and an individual is not able to put any weight on the injury. SW is able to bear weight, but has discomfort doing so. Therefore, again, she most likely did not suffer a fracture. This can be confirmed with an X-Ray.
  • Syndesmotic Injury:  These injuries are also known as high ankle sprains and they require a lot of force to injure this specific ligament. SW fell and rolled on her ankle, which would not cause a lot of force on her ankle. The syndesmotic ligaments hold the distal tibia and fibula together. They occur when an ankle is externally rotated during injury affecting the interosseous membrane. These injuries typically occur in sports such as hockey and skiing, where injuries cause a lot more force. Her injury was low ankle sprain which occurs when an ankle is everted. Low ankle sprains occur in sports such as soccer and basketball, which SW was playing soccer. Therefore, she most likely did not suffer a syndesmotic injury.  

References

Chen, E., McInnis, K., & Borg-Stein, J. (2019). Ankle sprains: evaluation, rehabilitation, and prevention. Current Sports Medicine Reports: June 2019. 18(6), 217-233. https:/doi.org/10.1249/JSR.0000000000000603

Common Injuries. (2019). Backpacker, 47(2), 47. https://link.gale.com/apps/doc/A575011128/EAIM?u=minn4020&sid=EAIM&xid=13250273

Curr, S., & Xyrichis, A. (2015). Does nurse-led initiation of Ottawa ankle rules reduce ED length of stay? International Emergency Nursing. 23(4), 3147-322. https://doi.org/10.1016/j.ienj.2015.01.006

Danna, N., & Brodsky, J. (2020). Diagnosis and Operative Treatment of Peroneal Tendon Tears. Sage Journals. https://doi.org/10.1177/2473011420910407

Guiney, A. (2016). Ankle Stress Views: Why, When + What. CoreEm. Retrieved from https://coreem.net/core/ankle-stress-views/#references

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2023 Comment 1 The four most commonly used designs for research studies are descriptive correlational quasi experimenal and experimental Grove

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Nursing 2023 Please Do A Comment Base In This Answers. Write At Least 140 Words In Each Answer, Take Reference From (2013-2018) If Is Possible, Academic References Please Because The Teacher Check It Out One By One. SUSTANTIVE POST NEEDED

Comment 1 The four most commonly used designs for research studies are descriptive correlational quasi experimenal and experimental Grove 2023 Assignment

Comment 1

The four most commonly used designs for research studies are descriptive, correlational, quasi- experimenal, and experimental.”(Grove, Gray & Burns, 2015). Descriptive and correlational designs can be referred to as non-experimental designs because the focus is on examining variables as they naturally occur in environments and not in the implementation of a treatment by the researcher.

In experimental design researchers uses random assignment and they manipulate an independent variable around a controlled variable. A true experimental design there must be randomization, a control group and manipulation of a variable when examining the direct cause or predicted relationships between variables. In a quasi-experiment one of these aspects is missing.(Sousa, Driessnack & Menders, 2007).

A non experimental research design focuses on examining variables as they would naturally occur, types of nonexperimental research designs are: survey, case studies, correlation studies, comparative studies and descriptive studies. Non experimental designs have no random assignments, no control groups and no manipulation of variables, the research design is observation only.(Sousa, Driessnack & Menders,

2007).

Comment 2

Experimental research is the most powerful quantitative method. It has a rigourous control of the variables. It is an objective, systematic, and highly controlled investigation conducted for predicting and controlling phenomena (Grove, 2017). During the experimental design, the researcher uses random assignment. They also manipulate an independent variable around a controlled variable. In a true experimental design, there must be randomization, a control group, and manipulation of a variable while examining the direct cause or predicted relationships between variables.

Non-experimental research is research that lacks the manipulation of an independent variable, random assignment of participants to conditions or orders of conditions or both. It focuses on examining variables as they would naturally occur. Some of the examples of the experimental research are: survey, case studies, comparative studies, and descriptive studies. This type of research has no random assignments, no control groups, and no manipulation of variables. The research method is observation only.

Experimental research provides convincing evidence that changes with an independent variable. Thus, it results in the differences in a dependent variable. On the other hand, non-experimental research does not cause any changes in the independent variables.

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2023 Energy Efficiency initiative in hospitals Sustainability initiative proposal Analysis of the costs

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Nursing 2023 Sustainability Initiative, Part 6

Energy Efficiency initiative in hospitals Sustainability initiative proposal Analysis of the costs 2023 Assignment

 

Energy Efficiency initiative in hospitals:

  • Sustainability initiative proposal
  • Analysis of the costs and benefits associated with your initiative
  • Evaluation of how your initiative will improve patient care and outcomes
  • Evaluation of how your initiative will reduce waste
  • Suggestions for community partnerships and education programs
  • Petition to the leadership for resources to enact the initiative

Compile a 6- to 8-page paper of your sustainability initiative. Include diagrams, flowcharts, and other visuals that support your initiative.

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2023 As mentioned in this lesson numerous telecommunications ready tools are already available to assist nurses in delivering

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Nursing 2023 Midweek Comprehension Questions

As mentioned in this lesson numerous telecommunications ready tools are already available to assist nurses in delivering 2023 Assignment

 As mentioned in this lesson, numerous telecommunications-ready tools are already available to assist nurses in delivering care and improving patients’ health outcomes. New and innovative tools are rapidly making it to the marketplace, making current tools dated and sometimes obsolete. Continue to reflect upon the point-of-care tools you may be familiar with using in your role as a Registered Nurse and how your responsibilities will change with your future role as an APN. How will you stay current? Provide a brief response (100 words or less)  

readings:

 

McGonigle, D. & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones and Bartlett.

  • Chapter 13 Workflow and Beyond Meaningful Use

McBride, S., & Tietze, M. (2018). Nursing Informatics for the Advanced Practice Nurse (2nd ed.). Springer Publishing

  • Chapter 6 Computers in Health Care
  • Chapter 19 Clinical Decision Support Systems

Articles

Blum, D., Raj, S. X., Oberholzer, R., Riphagen, I. I., Strasser, F., Kaasa, S., & EURO, I. (2015). European Intersectorial Multidisciplinary Palliative Care Research Training (Links to an external site.). Computer-based clinical decision support systems and patient-reported outcomes: a systematic review. Patient, 8(5), 397-409.

Mussavi Rizi, S. A., & Roudsari, A. (2017). A Survey of standard information models for clinical decision support systems. (Links to an external site.) Studies In Health Technology And Informatics, 234, 249-255. 

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2023 Minimum of two paragraphs with two references less than 5 years old APA Style and NO PLAGIARISM

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Nursing 2023 Week_3 discussion post.

Minimum of two paragraphs with two references less than 5 years old APA Style and NO PLAGIARISM 2023 Assignment

Minimum of two paragraphs with two references less than 5 years old, APA Style, and NO PLAGIARISM. Points are easily deducted. Thanks. Should you have any questions please dont hesitate to contact me. Thanks. 

__________________________________________________________________________________________

Identify a population to assess and develop an evidence-based, primary care health promotion recommendations to deliver in their own communities (Hispanics-Diabetes). 

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2023 Assume you are a nurse manager on a unit where a new nursing documentation

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Nursing 2023 The Role of the Nurse Informaticist in Systems Development and Implementation

Assume you are a nurse manager on a unit where a new nursing documentation 2023 Assignment

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
  • Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

  • Planning and requirements definition
  • Analysis
  • Design of the new system
  • Implementation
  • Post-implementation support

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2023 Introduction Communication Change Challenge CCC Part 1 The Course Project is about improving

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Nursing 2023 Part 1 And 2– Selecting A Communication Goal

Introduction Communication Change Challenge CCC Part 1 The Course Project is about improving 2023 Assignment

Introduction: Communication Change Challenge (CCC) Part 1
The Course Project is about improving your interpersonal communication skills. For this project, you will select a relevant interpersonal communication behavior to work on and improve (Week 1), attempt to change your behavior or pattern in the communication area you selected (Week 2), and evaluate your progress and performance (Week 3).

Part 1
Take some time to think about challenges you have communicating with other people. These difficulties may involve strangers or acquaintances; consider communication aspects with friends, family members, or people at school or work. You may identify situations that involve specific individuals or general circumstances. Some examples include having trouble starting a conversation with someone you have never met, saying “no” when your sister asks to borrow money, or avoiding participation in meetings even when you have a question or contribution to the discussion.

Complete the steps in the following framework to identify a goal. Using the template for this week, detail each of the steps to explain how you chose this one communication problem area you intend to change.

Part 2
In order to gain further understanding regarding the communication challenge you have selected, you will need to do some research to find an outside scholarly source (in addition to the textbook) that addresses the challenge you face. Once you have located that source and read it, summarize the source and share how the information within the source has provided insight into your challenge and strategies that can help that challenge.

Continue following the template as you complete Part 2.

  • Begin with the title of the source.
  • The first paragraph beneath the title will summarize the source.
  • The second paragraph will explain how the information in your chosen source has provided guidance or insight.
  • End with a full APA citation on the references page

You will be submitting Part 1 and Part 2 as one document that begins with a title page and ends with a References page

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2023 1 Describe the organizational characteristics of the facility in which you currently have a

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Nursing 2023 nursing

1 Describe the organizational characteristics of the facility in which you currently have a 2023 Assignment

 

1. Describe the organizational characteristics of the facility in which you currently have a clinical assignment. Include the following:

a. Type of organization

b. Overall climate of the facility

c. How the organization is structured

d. Formal and informal goals and processes of the organization

2. Why is the work climate of an organization important to nurse leaders and managers?

3. What are the ways in which a nurse can enhance his or her expertise?

4. Explain “shared governance,” and describe how it can affect the power structure of a health-care organization.

5. Why is it important for staff nurses to understand the culture and real goals of the organization in which they work?

1. Describe your ideal organization. Explain each feature and why you think it is important.

2. Interview one of the staff nurses on your unit. Find out what practices within the organization help to empower the nurses. Compare this list of practices with those discussed in the textbook.

3. Recall the last time you walked into a hospital, clinic, or physician’s office for the first time. What was your first impression? Did you feel comfortable and welcome? Why or why not? If you could change the first impression this facility makes, what would you do?

4-What changes could be made at a very low cost? What changes would be expensive?Finally, discuss why it is important for a health-care facility to make a good first impression

 All paper submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.). 2009 ISBN: 978-1-4338-0561-5 

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 Minimum of 250 words with at least 2 peer review reference in

by

Nursing 2023 NUR-621-D5Q1R1

Minimum of 250 words with at least 2 peer review reference in 2023 Assignment

Minimum of 250 words with at least 2 peer review reference in 6th edition APA style.

 Health plans participating in the Affordable Care Act must be accredited; what is the difference between the National Committee for Quality Assurance (NCQA) and the Utilization Review Accreditation Commission (URAC)? Why would a health plan select one over the other? 

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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