2023 Gastro instestinal Case Study Chief complaint I have recurrent H Pylori infection HPI M C a 46 year old

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Nursing 2023 DB week 11 pharma

Gastro instestinal Case Study Chief complaint I have recurrent H Pylori infection HPI M C a 46 year old 2023 Assignment

Gastro instestinal  Case Study

Chief complaint: “I have recurrent H. Pylori infection”. 

HPI: M.C. a 46-year-old Hispanic female presents to the GI clinic for complaint of recurrent H. Pylori infection. She was treated about 2 ½ months ago with H. Pylori triple therapy and failed treatment. She has PMH of dyspepsia, and GERD. She also indicates that she has noticed that her symptoms of dyspepsia are worsening for past 2 months. She has associated her symptoms with nausea, upset stomach with all foods. Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms. 

PMH: 

H. Pylori infection gastritis

Diabetes Mellitus, type 2

Surgeries: None

Allergies: NKDA

Vaccination History: Up-to-date

Social history:

High school graduate, married and no children. He frequently eats out in restaurants. 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: No edema. No palpitations. 

Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal pain.

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal

Assessment:

Primary Diagnosis: Recurrent H. Pylori infection gastritis

Secondary Diagnoses: Dyspepsia

Differential Diagnosis: Peptic Ulcer Disease

Previous medication plan: two months ago and failed.

  1. Clarithromycin      500 mg po BID for 2 weeks
  2. Omeprazole      40 mg po BID for 2 weeks and then po daily.
  3. Cipro      500 mg po BID for 2 weeks

Plan: Tests

Pt had EGD done 2 weeks ago that showed H. Pylori positive gastritis in biopsy results. 

Urea breath test 8 weeks after treatment with H. Pylori medications. Pt needs to stop PPI’s 2 weeks prior to Urea Breath test. 

Labs: No new labs are needed.  

Referrals: may refer based on effect of medication therapy given for 2 weeks.

Follow up: return to office in 8 weeks to reevaluate symptoms.

As a future nurse practitioner, it is important that you determine the medications used for recurrent H. Pylori infection. 

Please discuss new therapy guidelines for H. Pylori treatment, and provide patient education.

Below is the website for the American Academy of Gastroenterology Clinical Guidelines (ACG) for the updated H. Pylori therapy. Feel free to consult other peer-reviewed articles within 5 years of publication.

http://gi.org/wp-content/uploads/2017/02/ACGManagementofHpyloriGuideline2017.pdf

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2023 Read chapters 14 and 29 of the class textbook and review the attached PowerPoint presentation Read Content chapter 29 in Davis Plus

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Nursing 2023 People Of French Canadian Heritage. People Of German Heritage. 700 Words Minimum

Read chapters 14 and 29 of the class textbook and review the attached PowerPoint presentation Read Content chapter 29 in Davis Plus 2023 Assignment

Read chapters 14 and 29 of the class textbook and review the attached PowerPoint presentation. Read Content chapter 29 in Davis Plus Online Website.  Once done answer the following questions;

1.  Describe the health care beliefs of the German and French Canadian heritage and mention the influence in the delivery of evidence-based health care.

2.  Discuss if there is any similarity in the health care beliefs and practices of the German and French Canadian heritage with the health care beliefs of your heritage.  

3.  If you have to change your health care beliefs for any of one study this week, which one will you choose, and why?

A minimum of 3 evidenced-based references must be used.

References must be no older than 5 years.  A minimum of 700 words is required.  

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2023 Refection Paper The IOM published report Future of Nursing Leading Change Advancing Health makes recommendations for lifelong learning and

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Nursing 2023 Refection paper

Refection Paper The IOM published report Future of Nursing Leading Change Advancing Health makes recommendations for lifelong learning and 2023 Assignment

Refection Paper 

            

The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education.

In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals.

Include the following:

  1. Discuss your options in the job market based on your educational level.
  2. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals.
  3. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing.
  4. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics.
  5. Discuss whether continuing nursing education should be mandatory. Provide support for your response.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

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2023 Journaling provides a valuable tool for recording reflecting on and reviewing your learning This approach provides an

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Nursing 2023 Nur 674-d11 Entry 5

Journaling provides a valuable tool for recording reflecting on and reviewing your learning This approach provides an 2023 Assignment

 

Journaling provides a valuable tool for recording, reflecting on, and reviewing your learning. This approach provides an opportunity for you to “connect the dots” and observe the relationships between and among activities, interactions, and outcomes.

Unlike a personal journal of thoughts and feelings, this leadership journal is a record of your activities, assessments, and learning related to this academic experience.

Journal entries should include a record of the number of hours spent with your nurse leader each week.

Write a journal entry of 750-1,500 words on the subject of serving, including the following:

  1. Practicum Activities Reflection: Provide observations and thoughts on the activities in your practicum setting during Topics 9-10.
  2. Application of Leadership: Identify three to five personal values or characteristics that you believe are critical components of a good leader, such as honesty, compassion, or fairness. How do you express those values in your professional life?
  3. Practicum Project Preparation: How have you prepared those who will be affected by your project for its implementation?
  4. Leadership Video Reflection: Reflect on at least two things you learned from the “Servant Leadership – Issue of Example” video.

Use the “Leadership Journal Template” to complete this assignment.

APA format is not required, but solid academic writing is expected. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Please remember I am a Nurse mentoring with the Director of the Emergency Room for my practicum.  We have been dealing with various issue of covid-19 management. related to hospital, staff, and patients.

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2023 The Importance of Health Policy for Health Administrators Shi discussed why it is important to study health policy In your

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Nursing 2023 BHA415 Module 1 Discussion Post

The Importance of Health Policy for Health Administrators Shi discussed why it is important to study health policy In your 2023 Assignment

The Importance of Health Policy for Health Administrators:

Shi discussed why it is important to study health policy.

  • In your own words, explain the significance of health policy for health administrators and why it is important to stay up-to-date on policy trends and debates.

Be sure to cite reliable sources for your answer.

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2023 How is ethical behavior an integral part of the doctorally prepared advanced practice nurse s role Why is

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Nursing 2023 DNP Role

How is ethical behavior an integral part of the doctorally prepared advanced practice nurse s role Why is 2023 Assignment

How is ethical behavior an integral part of the doctorally prepared advanced practice nurse’s role? Why is the doctorally prepared advanced practice nurse considered a role model? How does one display the characteristics of a role model? Does a doctorally prepared advanced practice nurse have a legitimate right and/or ethical foundation to interject their ideas into business practice?

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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 Assignment In this assignment you will develop two separate infographics informative posters to discuss two separate health issues relevant to

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Nursing 2023 Assignment

Assignment In this assignment you will develop two separate infographics informative posters to discuss two separate health issues relevant to 2023 Assignment

 

Assignment:

In this assignment, you will develop two separate infographics (informative posters) to discuss two separate health issues relevant to the LGBT communities. In each infographic you will discuss:

  • What is the health problem
  • Which group(s) are most likely to be at risk
  • What social/behavioral/health system determinants affect this
  • Identify at least two potential interventions/activities the community, community health agency, community health nurse could offer to prevent and or support this health issue
  • What resistance might be met in implementing the intervention/activity

View these links on how to create infographics:

You should submit two infographics and one reference list containing at least three scholarly sources. These can be submitted as three separate files.

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2023 1 minimum 6 full pages 3 pages each document not words cover

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Nursing 2023 Creating Culturally Competent In Health Care Organizations X 2 (24 Hours)

1 minimum 6 full pages 3 pages each document not words cover 2023 Assignment

 

1) **********minimum 6 full pages (3 pages each document) ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms  (All paragraphs must be narrative and cited in the text- each paragraphs)

3)********** It will be verified by Turnitin and SafeAssign 

4) References not older than 5 years

5) Each answer must be identified according to the question number. Check the list of questions. Your answer should start objectively answering the question

Question:

1)…………

2)…………

3)…………

Answer:

1)…………

2)…………

3)…………

_______________________________________________________

You must answer (6) question2 times. 

You must submit 2 documents (each one 3 page).

Copy and paste will not be admitted. 

You should address the questions with different wording, different references, but always, objectively answering the questions.

____________________________________________________________

Case: 

 

Mrs. Li Huan, a 79-year-old Chinese American widow who lives alone in New York City’s Chinatown recently had a cerebrovascular accident (CVA) or stroke. Mrs. Li has right-sided paralysis with partial loss of voluntary movement and sensation in her right arm and leg. Mrs. Li has weak facial muscles, difficulty with speech, and drooling. She experiences numbness and tingling in her arms and legs. Mrs. Li is going to a rehabilitation center known for delivering culturally competent interprofessional care where she is cared for by a team of credentialed health care providers: Dr. Indira Patel, nurse J.J. Johnson, physical therapist Mohammad Abu Said, dietician Maria Gonzalez, and Chinese American herbalist, Chen Minzhe.

(Note: In traditional Chinese culture, a person’s last name or surname is written first, followed by his/her first name. Therefore, the patient’s last name is Li and the herbalist’s last name is Chen. It is proper etiquette to call a person of Chinese background by his/her title, in this case, Mrs. Li and Mr. Chen until the individual gives you permission to use his/her first name. To further confuse matters, many acculturated Chinese Americans are likely to reverse their first and last names in the typical US or Canadian order. Therefore, it is important to ask the patient, “What is your first name? What is your last name?” Note the correct order on the patient’s chart for other members of the team.)

Questions:

 

  1. How do members of the interprofessional team assess Mrs. Li’s literacy, diet, and medications, including herbal medicines being provided by her herbalist, Mr. Chen?
  2. How do the nurse and other members of the team determine if complementary or integrative treatments, such as medicinal herbs, are helpful, harmful, or neutral to Mrs. Li’s recovery?
  3. If you were seeking advice or consultation from a traditional Chinese herbalist in your community, how would you locate one?
  4. Why do patients seek treatment from alternative and integrative healers?
  5. How can credentialed health care providers work collaboratively with Mr. Chen to ensure that prescription medicines and herbs are compatible and that there are no adverse or harmful interactions between various medicines?
  6. What strategies would you recommend in promoting Mrs. Li’s optimum functioning and health following her CVA? (Andrews & Boyle, Transcultural Concepts in Nursing Care, 7th Edition).

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2023 Topic Interviewing a Professional Nurse or Interview a nurse professional with years of experience Write her his opinion about Teamwork and

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Nursing 2023 Interviewing a Professional Nurse

Topic Interviewing a Professional Nurse or Interview a nurse professional with years of experience Write her his opinion about Teamwork and 2023 Assignment

Topic: Interviewing a Professional Nurse or Interview a nurse professional with years of experience.

Write her/his opinion about:

  1. Teamwork and its importance
  2. Patient-care  and Adaptability
  3. Time management in nursing
  4. Communication style 

Motivation and core values in nursing

  • 5 pages (excluding title-page and reference page) 
  • APA style paper 
  • 5 references within 5 years.
  • Include a heading for each of the topics in the numbers written above

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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 CASE STUDY 3 Focused Ear Exam Martha brings her 11 year old grandson

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Nursing 2023 Assessing The Head, Eyes, Ears, Nose, And Throat

CASE STUDY 3 Focused Ear Exam Martha brings her 11 year old grandson 2023 Assignment

 CASE STUDY 3: Focused Ear Exam Martha brings her 11-year old grandson, James, to your clinic to have his right ear checked. He has complained to her about a mild earache for the past 2 days. His grandmother believes that he feels warm but did not verify this with a thermometer. James states that the pain was worse while he was falling asleep and that it was harder for him to hear. When you begin basic assessments, you notice that James has a prominent tan. When you ask him how he’s been spending his summer, James responds that he’s been spending a lot of time in the pool 

 

Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes but would probably perform a simple strep test.

In this Case Study Assignment, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.

To Prepare

  • By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
  • Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style 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.

With regard to the case study you were assigned:

  • Review this week’s Learning Resources and consider the insights they provide.
  • Consider what history would be necessary to collect from the patient.
  • 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.

The Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the 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.

5 references not more than 5 years

Zero plagiarism

 

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Chapter 11, “Head and Neck”

This chapter reviews the anatomy and physiology of the head and neck. The authors also describe the procedures for conducting a physical examination of the head and neck.
Chapter 12, “Eyes”

In this chapter, the authors describe the anatomy and function of the eyes. In addition, the authors explain the steps involved in conducting a physical examination of the eyes.
Chapter 13, “Ears, Nose, and Throat”

The authors of this chapter detail the proper procedures for conducting a physical exam of the ears, nose, and throat. The chapter also provides pictures and descriptions of common abnormalities in the ears, nose, and throat.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center. 

PLEASE PAY ATTENTION TO MY CASE STUDY AT THE TOP

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