2023 The neurological system affects all parts and functions of the body through nerve stimulation Nerves also control

Nursing 2023 Discussion: Pain

The neurological system affects all parts and functions of the body through nerve stimulation Nerves also control 2023 Assignment

  

The neurological system affects all parts and functions of the body through nerve stimulation. Nerves also control the sensation and perception of pain. While pain can be described in a variety of ways, it is essentially labeled according to its duration and source. As an advanced practice nurse evaluating a patient, you need to consider the following questions: Does the pain quickly come and go, or is it persistent and ongoing? Does the pain arise at the source of injury or in another location? In this Discussion, you compare three common types of pain—acute, chronic, and referred.

To Prepare

· Review this week’s media presentation on the neurological system, as well as Chapter 14 in the Huether and McCance text.

· Identify the pathophysiology of acute, chronic, and referred pain. Consider the similarities and differences between these three types of pain.

· Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.

Discussion Post: 

Post a description of the pathophysiology of acute, chronic, and referred pain, including similarities and differences between them. Then, explain how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.

Required Readings

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

  • Chapter 13, “Structure and      Function of the Neurologic System”

This chapter begins with an overview of the structure and function of the nervous system. It also explains the importance of the central, peripheral, and autonomic nervous systems.

  • Chapter 14, “Pain,      Temperature, Sleep, and Sensory Function”

This chapter covers the role of pain, sleep, stress, and the senses on body functions. It also explores alterations involving pain, sleep, stress, and the senses.

  • Chapter 15, “Alterations in      Cognitive Systems, Cerebral Hemodynamics, and Motor Function”

This chapter explores disorders of cognitive systems, neuromotor function, tone, movement, and motor performance. It also examines factors that impact these disorders as well as clinical manifestations.

  • Chapter 16, “Disorders of      the Central and Peripheral Nervous Systems and Neuromuscular Junction”

This chapter examines the pathophysiology, clinical manifestations, and evaluation and treatment of central and peripheral nervous system disorders. Tumors of the central nervous system are also covered.

  • Chapter 17, “Alterations of      Neurologic Function in Children”

This chapter focuses on the pathophysiology, clinical manifestations, evaluation, and treatment of neurologic disorders and brain tumors in children. Normal growth and development is also examined.

Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th ed.). New York, NY: McGraw-Hill Education.

  • Chapter 7, “Nervous System      Disorders”

This chapter begins with an overview of the structure and function of the nervous system to lay a foundation for exploring nervous system disorders. It then examines several nervous system disorders such as Parkinson’s disease, epilepsy, dementia, Alzheimer’s disease, and stroke.

  • Chapter 12, “Disorders of      the Adrenal Medulla”

This chapter examines disorders relating to alterations of the adrenal medulla. It classifies disorders by the organ or tissue that is most impacted by the disorder. The pathophysiology, clinical manifestations, symptoms, and signs of the disorders are also covered.

  • Chapter 19, “Disorders of      the Hypothalamus & Pituitary Gland”

This chapter covers the structure and function of the hypothalamus and pituitary glands. It also explores disorders of the hypothalamus and pituitary glands.

  • Chapter 21, “Disorders of      the Adrenal Cortex”

This chapter begins by exploring the structure and function of the adrenal cortex. It then explores disorders relating to alterations of the adrenal cortex.

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2023 1 Discuss one personal strength and one weakness you have regarding professional presentations Name

Nursing 2023 DQs

1 Discuss one personal strength and one weakness you have regarding professional presentations Name 2023 Assignment

1.

Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these and discuss why it is important for you to work on these skills if you want to present your findings in a more formal setting.

2.

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.

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2023 Hi i need the table i uploaded to be filled Health Promotion Program Part B2 Evidence based Literature Search

Nursing 2023 Health Promotion Program, Part B2

Hi i need the table i uploaded to be filled Health Promotion Program Part B2 Evidence based Literature Search 2023 Assignment

Hi, i need the table i uploaded to be filled

Health Promotion Program, Part B2: Evidence-based Literature SearchYou will be expected to search for the highest level of evidence for your health promotion project. Please listen to the lecture on searching the evidence, use the services of the research librarian, and pull from the knowledge gained in NUR 39000 Nursing Research to complete this assignment. The Purdue Owl website is a great resource for you when citing your references in APA style.  

Self- Assessment of Learning Styles.pdf Click for more options          .
JBI-Levels-of-Evidence(1).pdf

Library Resources: The reference librarian for the School of Nursing has created a very helpful website of library resources for this course. Click on the link below to accept this website:NUR 39400 Library Resource Guide

 https://mycourses.purdue.edu/bbcswebdav/pid-12421733-dt-content-rid-93949047_1/courses/pnw_45033.201920/JBI-Levels-of-Evidence%281%29.pdf

New JBI Levels of Evidence

Developed by the Joanna Briggs Institute Levels of Evidence and Grades of Recommendation Working Party October 2013

PLEASE NOTE: These levels are intended to be used alongside the supporting document outlining their use. Using Levels of Evidence does not preclude the need for careful reading, critical appraisal and clinical reasoning when applying evidence.

LEVELS OF EVIDENCE FOR EFFECTIVENESS

Level 1 – Experimental Designs

Level 1.a – Systematic review of Randomized Controlled Trials (RCTs)

Level 1.b – Systematic review of RCTs and other study designs

Level 1.c – RCT

Level 1.d – Pseudo-RCTs

Level 2 – Quasi-experimental Designs

Level 2.a – Systematic review of quasi-experimental studies

Level 2.b – Systematic review of quasi-experimental and other lower study designs

Level 2.c – Quasi-experimental prospectively controlled study

Level 2.d – Pre-test – post-test or historic/retrospective control group study

Level 3 – Observational – Analytic Designs

Level 3.a – Systematic review of comparable cohort studies

Level 3.b – Systematic review of comparable cohort and other lower study designs

Level 3.c – Cohort study with control group

Level 3.d – Case – controlled study

Level 3.e – Observational study without a control group

Page | 2

Level 4 – Observational –Descriptive Studies

Level 4.a – Systematic review of descriptive studies

Level 4.b – Cross-sectional study

Level 4.c – Case series

Level 4.d – Case study

Level 5 – Expert Opinion and Bench Research

Level 5.a – Systematic review of expert opinion

Level 5.b – Expert consensus

Level 5.c – Bench research/ single expert opinion

Page | 3

LEVELS OF EVIDENCE FOR DIAGNOSIS

Level 1 – Studies of Test Accuracy among consecutive patients

Level 1.a – Systematic review of studies of test accuracy among consecutive patients

Level 1.b – Study of test accuracy among consecutive patients

Level 2 – Studies of Test Accuracy among non-consecutive patients

Level 2.a – Systematic review of studies of test accuracy among non-consecutive patients

Level 2.b – Study of test accuracy among non-consecutive patients

Level 3 – Diagnostic Case control studies

Level 3.a – Systematic review of diagnostic case control studies

Level 3.b – Diagnostic case-control study

Level 4 – Diagnostic yield studies

Level 4.a – Systematic review of diagnostic yield studies

Level 4.b – Individual diagnostic yield study

Level 5 – Expert Opinion and Bench Research

Level 5.a – Systematic review of expert opinion

Level 5.b – Expert consensus

Level 5.c – Bench research/ single expert opinion

Page | 4

LEVELS OF EVIDENCE FOR PROGNOSIS

Level 1 – Inception Cohort Studies

Level 1.a – Systematic review of inception cohort studies

Level 1.b – Inception cohort study

Level 2 – Studies of All or none

Level 2.a – Systematic review of all or none studies

Level 2.b – All or none studies

Level 3 – Cohort studies

Level 3.a – Systematic review of cohort studies (or control arm of RCT)

Level 3.b – Cohort study (or control arm of RCT)

Level 4 – Case series/Case Controlled/ Historically Controlled studies

Level 4.a – Systematic review of Case series/Case Controlled/ Historically Controlled studies

Level 4.b – Individual Case series/Case Controlled/ Historically Controlled study

Level 5 – Expert Opinion and Bench Research

Level 5.a – Systematic review of expert opinion

Level 5.b – Expert consensus

Level 5.c – Bench research/ single expert opinion

Page | 5

LEVELS OF EVIDENCE FOR ECONOMIC EVALUATIONS

Levels

1. Decision model with assumptions and variables informed by systematic review and tailored to fit the decision making context.

2. Systematic review of economic evaluations conducted in a setting similar to the decision makers.

3. Synthesis/review of economic evaluations undertaken in a setting similar to that in which the decision is to be made and which are of high quality (comprehensive and credible measurement of costs and health outcomes, sufficient time period covered, discounting, and sensitivity testing).

4. Economic evaluation of high quality (comprehensive and credible measurement of costs and health outcomes, sufficient time period covered, discounting and sensitivity testing) and conducted in setting similar to the decision making context.

5. Synthesis / review of economic evaluations of moderate and/or poor quality (insufficient coverage of costs and health effects, no discounting, no sensitivity testing, time period covered insufficient).

6. Single economic evaluation of moderate or poor quality (see directly above level 5 description of studies). 7. Expert opinion on incremental cost effectives of intervention and comparator.

Page | 6

LEVELS OF EVIDENCE FOR MEANINGFULNESS

1. Qualitative or mixed-methods systematic review

2. Qualitative or mixed-methods synthesis

3. Single qualitative study

4. Systematic review of expert opinion

5. Expert opinion

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2023 An important role of nursing is to provide health promotion and disease prevention Review the 2020

Nursing 2023 Nursing

An important role of nursing is to provide health promotion and disease prevention Review the 2020 2023 Assignment

An important role of nursing is to provide health promotion and disease prevention. Review the 2020 Topics and Objectives on the Healthy People website. Choose a topic of interest that you would like to address, in conjunction with a population at-risk for the associated topic. Submit the topic and associated group to your instructor for approval.

Create a 15-20-slide PowerPoint presentation for your topic and focus group. Include speaker notes and citations for each slide, and create a slide at the end for References.

Address the following:

  1. Describe the approved topic and associated population your group has selected. Discuss how this topic adversely affects the population. How does health disparity affect this population?
  2. Explain evidence-based approaches that can optimize health for this population. How do these approaches minimize health disparity among affected populations?
  3. Outline a proposal for health education that can be used in a family-centered health promotion to address the issue for the target population. Ensure your proposal is based on evidence-based practice.
  4. Present a general profile of at least one health-related organization for the selected focus topic. Present two resources, national or local, for the proposed education plan that can be utilized by the provider or the patient.
  5. Identify interdisciplinary health professionals important to include in the health promotion. What is their role? Why is their involvement significant?

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2023 Required TASK 100 word positive response to the statement below With 3

Nursing 2023 100 word positive response to the discussion question below, with 3 references a must.

Required TASK 100 word positive response to the statement below With 3 2023 Assignment

 Required TASK 

100 word positive response to the statement below. With 3 references.  

Psychiatric Nurse Practitioners, have successfully increased access to care in underserved rural communities by practicing at the fullest extent of their scope without mandated supervision, utilizing telepsychiatry practice, while expanding PMHNP rural mental health education and research to meet and absolve pressing rural mental health challenges (Finley,2020).

Current evidence supports that rural mental health care improves when PMHNPs have full scope of practice, utilize telepsychiatry, engage in related scholarly, and have formalized education and training for rural health care delivery, which collectively answer the professional and moral call serving the underserved rural population with mental illness (Finley,2020). I chose to become a Mental health Nurse Practitioner, because it’s a passion of mine. I live in a rural area and would like to create a program for this area and the inner city where I also work. As a nurse practitioner I feel I can teach, educate and help each area, even though the needs are different. My heart goes out for the mentally challenged.

Database

I recommend, Thoreau advanced search database in the Walden Library, so far, I have had a lot of luck with this database. I have used different search engines before however, Thoreau advanced search is a miracle worker for me. Thoreau, searches most of the library’s collection in one place. It includes articles, books, videos, peer reviewed journals and more. I could not name them all however, Thoreau search so many databases, I don’t have to scroll down and figure which to choose it does the work for me.

References

Finley, B. A. (2020). Psychiatric Mental Health Nurse Practitioners Meeting Rural Mental Health Challenges. Journal of the American Psychiatric Nurses Association, 26(1), 97.

Walden University Library. (n.d.). Database A-Z Nursing. Retrieved October 4, 2019 from https://academicguides,waldenu.edu/az.php?s=19981

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2023 In a reflection of 450 600 words explain how you see yourself fitting into the following IOM

Nursing 2023 assignment

In a reflection of 450 600 words explain how you see yourself fitting into the following IOM 2023 Assignment

In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations:

  1. Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.
  2. Recommendation 5: Double the number of nurses with a doctorate by 2020.
  3. Recommendation 6: Ensure that nurses engage in lifelong learning.

Identify your options in the job market based on your educational level.

  1. How will increasing your level of education affect how you compete in the current job market?
  2. How will increasing your level of education affect your role in the future of nursing?

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

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2023 Mary is a 35 years old electrical engineer who presents to the office for evaluation of a rash

Nursing 2023 Case Study I

Mary is a 35 years old electrical engineer who presents to the office for evaluation of a rash 2023 Assignment

Mary is a 35 years old electrical engineer who presents to the office for evaluation of a rash on her face that has been present for 1 week. She denies new soaps, detergents, lotions, environmental exposures, medications, and foods. The rash is across her face and the bridge of her nose. She states that she first noticed it after spending a week hiking and camping in the Appalachians. The lesions itch and are painful. She has not tried anything to make it better, but she has noticed that going outdoors makes it worse. She denies any spread of the rash to other areas. She has never had this rash before.

She has noticed some increased fatigue, fever, and weight loss. She denies headache, sore throat, ear pain, nasal or sinus congestion, chest pain, shortness of breath, cough, abdominal pain, and pain with urination, constipation, or diarrhea. She does have mouth soreness. She has noticed some increased muscle aches and pains, which are worse in the hand and wrist. She denies early morning joint stiffness or difficulty with being able to move in the morning. She denies temperature intolerance, polyuria, polydipsia, or polyphagia.

She had a tonsillectomy at age 9 for chronic strep throat infections. She has been healthy as an adult. She has never had children. She has never been hospitalized for any reason.

Her family history is significant for a mother with rheumatoid arthritis. Her father is healthy.

She does not smoke; she drinks a glass of wine nearly every night with her dinner; she denies illicit drug use. She completed a master’s degree in engineering. She has lived with her boyfriend for the past 5 years.

Patient is an alert young woman, sitting comfortably on the examination table. BP 112/66 mm Hg; HR 62 BPM and regular; respiratory rate 12 breaths/min; temperature 100.3°F. Several erythematous plaques scattered over the cheeks and the bridge of nose, sparing the nasolabial folds. Normocephalic, atraumatic. Sclera white, conjunctivae clear; pupils constrict from 4 mm to 2 mm and equal, round, and reactive to light and accommodation. Oropharynx moist with erythema in the posterior pharyngeal wall; no exudates; shallow ulcers in the buccal mucosa bilaterally. Neck supple without cervical lymphadenopathy or thyromegaly. Full range of motion; no swelling or deformity; muscles with normal bulk and tone.

Instructions:

Make a whole history and physical examination in a comprehensive manner with all its elements included: CC, HPI, PMH, FH, SH, MEDICATIONS, ALLERGIES, ROS PER APPARATUS OR SYSTEMNS, HEAD TO TOE PHYSIACL EXAMINATION PER SYSTEMS ( write your presentation in H&P format no paragraph format).

           Based on this information, what is your presumptive nursing diagnosis? All nursing diagnosis that apply to the case written in NANDA format related to … and evidence by…., NO MEDICAL DIAGNOSIS.

   Teaching plan and nursing care plan per each nursing diagnosis on this case.

 

Requirements.

           1- All written assignment and documentations must be  in APA 6th edition format.

           2- Double spaces, minimum 4 pages long , minimum 3 up to date bibliography. (UP to date means last 3 years.), Note: you can use your test book as bibliography too, bibliography have to be written in APA format.

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2023 The following is another student post to wish i have to react Please add some other

Nursing 2023 Pathophysiology DQ 13 student reply Lourdes marrero

The following is another student post to wish i have to react Please add some other 2023 Assignment

 The following is another student post to wish i have to react. Please add some other information. relate to the question but different from the student post. remember APA and similarity. 

 

Sixty-two–year-old James White is accompanied to the clinic today by his wife and son. James has had increasing problems with his memory for the past several months and has rapid mood swings for no apparent reason. His wife says that “he’ll go outside in the garden without his clothes on, and his speech is difficult to understand.” His son reports that at times James flaps his arms a lot and notices that he is unable to cut his food or tie his shoes. James was diagnosed with heart failure approximately 6 months ago.

 

a. How would you explain to the White family what is occurring with James?

I would explain that heart failure is when the heart is not pumping adequate amount of blood carrying oxygen and nutrients to the cells in the body. Heart failure is a progressive disease with risk factor for cognitive impairment as seen with James case (Witt, Rotter, Stearns, Gottesman, Kucharska-Newton, & Chang, 2018). Problems with oxygenation, cardiac reserves and skeletal muscle contribute to symptoms and functional impairment in heart failure patients. I would further explain that fatigue, shortness of breath, activity intolerance, and weakness are cardinal symptoms of heart failure. It would be important to point out that disability is commonly seen in patients affected by heart failure with an inability to perform basic activities of daily living, such as those of self-care that include eating, bathing and dressing.  I would advise them that further decline, disability and eventually frailty is possible. Most people affected with mild cognitive impairment progress to dementia. I would explain that there are many reasons for developing cognitive impairment in heart failure patients including decreased cerebral perfusion due to vascular abnormalities (Harkness, Heckman, & McKelvie, 2012).

b. What treatment modalities would be appropriate for James at this time?

James would benefit from neuropsychological testing and a detailed examination of his disease state contributing to his cognitive decline (Witt, Rotter, Stearns, Gottesman, Kucharska-Newton, & Chang, 2018). James needs improved heart failure treatment to increase cardiac output and a review of his medication. Pharmacological agents such as ACE inhibitors have shown benefits on function and possibly cognition and mood in heart failure patients. There is a need to identify and reduce risk factors that are contributing to James cognitive impairment leading to poor quality of life.  It is recommended for James to be attend an outpatient heart failure disease management program designed for complex heart failure patients. Regular exercise for strength and resistance training is encourage for heart failure patients. Family support is also recommended (Harkness, Heckman, & McKelvie, 2012).

References

Harkness, K., Heckman, G. A., & McKelvie, R. S. (2012). The older patient with heart failure:

High risk for frailty and cognitive impairment. Expert Review of Cardiovascular Therapy, 10(6), 779-95. doi:http://dx.doi.org/10.1586/erc.12.49

Witt, L. S., Rotter, J., Stearns, S. C., Gottesman, R. F., Kucharska-Newton, A., A, R. S., . . .

Chang, P. P. (2018). Heart failure and cognitive impairment in the atherosclerosis risk in communities (ARIC) study. Journal of General Internal Medicine, 33(10), 1721-1728. doi:http://dx.doi.org/10.1007/s11606-018-4556-x

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2023 The authors of the assigned article A Patient Driven Adaptive Prediction Technique to Improve Personalized Risk Estimation

Nursing 2023 dq1

The authors of the assigned article A Patient Driven Adaptive Prediction Technique to Improve Personalized Risk Estimation 2023 Assignment

The authors of the assigned article, “A Patient-Driven Adaptive Prediction Technique to Improve Personalized Risk Estimation for Clinical Decision Support (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3392846/) have found that using patient-driven, adaptive technologies to guide clinical decision making are influencing the quality of patient care. How might these technologies minimize risk, promote health, and encourage patient engagement in their own care? one page. APA. NEED IT BY 8 AM FLORIDA TIME.

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2023 Assignment 1 1 Genetic Engineering Step 1 Clink on the link to watch the following video

Nursing 2023 Genetic Engineering

Assignment 1 1 Genetic Engineering Step 1 Clink on the link to watch the following video 2023 Assignment

 

Assignment 1.1: Genetic Engineering

 Step 1: Clink on the link to watch the following video:

Play Video

Step 2: After viewing the video, reflect on the topics in a 1 to 2 page paper.

  • Explain how genetic engineering may impact our society in 5-10 years.
  • Discuss how genetic engineering may impact the field of Nursing.
  • Discuss how genetic engineering may impact the protocol of care within the field of Nursing.
  • Discuss any social, emotional, or economical factors that may impact genetic engineering of human embryos.
  • Include 3 references to support any of the information presented in your writings.

Step 3: Save and submit your assignment

  • After you complete the assignment, save a copy for yourself in an easily accessible place and submit a copy to your instructor using the dropbox.

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